Provider Demographics
NPI:1346926334
Name:MARGATE MEDICAL AND REHABILITATION CENTER LLC
Entity Type:Organization
Organization Name:MARGATE MEDICAL AND REHABILITATION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMEON-DELHOMME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-657-8946
Mailing Address - Street 1:2914 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5730
Mailing Address - Country:US
Mailing Address - Phone:954-657-8946
Mailing Address - Fax:954-657-8759
Practice Address - Street 1:2914 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5730
Practice Address - Country:US
Practice Address - Phone:954-657-8946
Practice Address - Fax:954-657-8759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-23
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center