Provider Demographics
NPI:1154435634
Name:AUGUSTIN, DUCARMEL (MD)
Entity type:Individual
Prefix:DR
First Name:DUCARMEL
Middle Name:
Last Name:AUGUSTIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N STATE ROAD 7
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-4520
Mailing Address - Country:US
Mailing Address - Phone:954-971-0330
Mailing Address - Fax:954-971-0023
Practice Address - Street 1:100 N STATE ROAD 7
Practice Address - Street 2:SUITE 204
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-4520
Practice Address - Country:US
Practice Address - Phone:954-971-0330
Practice Address - Fax:954-971-0023
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0045717207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL048099100Medicaid
FLD20764Medicare UPIN
FL048099100Medicaid