Provider Demographics
NPI:1306880356
Name:MARGOLIS-FIRST, FRUMA
Entity type:Individual
Prefix:
First Name:FRUMA
Middle Name:
Last Name:MARGOLIS-FIRST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 BAYVIEW DR.
Mailing Address - Street 2:APT 2025
Mailing Address - City:SUNNY ISLES
Mailing Address - State:FL
Mailing Address - Zip Code:33160
Mailing Address - Country:US
Mailing Address - Phone:786-274-1195
Mailing Address - Fax:305-949-4833
Practice Address - Street 1:500 BAYVIEW DR
Practice Address - Street 2:APT 2025
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4780
Practice Address - Country:US
Practice Address - Phone:786-274-1195
Practice Address - Fax:305-949-4833
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI 10502355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSI 1050OtherLICENSE