Provider Demographics
NPI:1356655963
Name:RICHARD P MARGOLIES MD PA
Entity Type:Organization
Organization Name:RICHARD P MARGOLIES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:MARGOLIES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-626-5600
Mailing Address - Street 1:3355 BURNS RD STE 205
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4356
Mailing Address - Country:US
Mailing Address - Phone:561-626-5600
Mailing Address - Fax:561-626-8524
Practice Address - Street 1:3355 BURNS RD STE 205
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4356
Practice Address - Country:US
Practice Address - Phone:561-626-5600
Practice Address - Fax:561-626-8524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-06
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME43505207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL374706900Medicaid
FL61394Medicare PIN
FLD572223Medicare UPIN