MEDICARE: MARGOLIN MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891994836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARGOLIN MD PA

Provider Business Mailing Address
First Line	:	501 S LINCOLN AVE
Second Line	:	SUITE 26
City	:	CLEARWATER
State	:	FL
Zip	:	33756-5945
Country	:	US
Telephone Number	:	727-442-2193
Fax Number	:	727-466-6483

Provider Business Practice Location Address
First Line	:	501 S LINCOLN AVE
Second Line	:	SUITE 26
City	:	CLEARWATER
State	:	FL
Zip	:	33756-5945
Country	:	US
Telephone Number	:	727-442-2193
Fax Number	:	727-466-6483

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JERRY ALAN MARGOLIN
Credential	:	M.D.
Telephone Number	:	727-442-2193

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	10/19/2010

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Directions to “MARGOLIN MD PA ” Practice Location

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