Provider Demographics
NPI:1003387820
Name:DGM MEDICAL CENTER MARGATE, INC.
Entity Type:Organization
Organization Name:DGM MEDICAL CENTER MARGATE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:QUEVEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-248-5767
Mailing Address - Street 1:8210 NW 27TH ST STE 205
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1900
Mailing Address - Country:US
Mailing Address - Phone:786-248-5767
Mailing Address - Fax:305-226-9112
Practice Address - Street 1:5800 COLONIAL DR STE 104
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5662
Practice Address - Country:US
Practice Address - Phone:786-248-5767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care