Provider Demographics
NPI:1992793731
Name:MARGULIES, MICHAEL CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CHARLES
Last Name:MARGULIES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:8940 N KENDALL DR
Mailing Address - Street 2:SUITE 704-E
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2148
Mailing Address - Country:US
Mailing Address - Phone:305-595-0393
Mailing Address - Fax:305-595-0911
Practice Address - Street 1:8940 N KENDALL DR
Practice Address - Street 2:SUITE 704-E
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2148
Practice Address - Country:US
Practice Address - Phone:305-595-0393
Practice Address - Fax:305-595-0911
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-06
Last Update Date:2019-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME0023176207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL377357400Medicaid
FLD59970Medicare UPIN
FL377357400Medicaid