Provider Demographics
NPI:1083158497
Name:MARGATE HEALTH & WELLNESS
Entity Type:Organization
Organization Name:MARGATE HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHE
Authorized Official - Middle Name:
Authorized Official - Last Name:HIPPOLYTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-612-3223
Mailing Address - Street 1:2922 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5700
Mailing Address - Country:US
Mailing Address - Phone:800-635-9185
Mailing Address - Fax:
Practice Address - Street 1:16799 SW 54TH CT
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-4929
Practice Address - Country:US
Practice Address - Phone:954-612-3223
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization