Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | OS0004288 | FL |
N | 207QA0505X | Family Doctor - Adult Medicine | OS0004288 | FL |
NPI | 1346204203 |
---|---|
Provider Name | Dr. Michael I Margolis |
First Address | Hollywood, FL 33021-3516 |
Second Address | Hollywood, FL 33021-3516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 26/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001969 | NHP (01) | FL |
06596200 | (05) | FL |
065962200 | (05) | FL |
082539 | AETNA (01) | |
171831 | JMH (01) | |
3709520-006 | CIGNA (01) | |
82384 | BCBS (01) | |
82384 | BLUE CROSS (01) | FL |
E32228 | (02) | FL |
E32228 | SUMMIT (01) | FL |
E32228 | VISTA HEALTH PLAN (01) | FL |