Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | OPC5463 | FL |
NPI | 1003325085 |
---|---|
Provider Name | Joshua Margolesky |
First Address | Miami, FL 33176-6681 |
Second Address | Miami, FL 33156-7872 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2017 |
Last Update Date | 22/09/2017 |