Provider Demographics
NPI:1184220683
Name:PHILIP MARGOLESKY
Entity Type:Organization
Organization Name:PHILIP MARGOLESKY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD
Authorized Official - Prefix:
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARGOLESKY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:305-665-1044
Mailing Address - Street 1:7535 N KENDALL DR STE 2240
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7893
Mailing Address - Country:US
Mailing Address - Phone:305-665-1044
Mailing Address - Fax:305-665-1044
Practice Address - Street 1:7535 N KENDALL DR STE 2240
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7893
Practice Address - Country:US
Practice Address - Phone:305-665-1044
Practice Address - Fax:305-665-1044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier