Provider Demographics
NPI:1376531475
Name:TABOAS, MARGARITA L (MD)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:L
Last Name:TABOAS
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:5310 NW 33RD AVENUE
Mailing Address - Street 2:SUITE 216
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-6307
Mailing Address - Country:US
Mailing Address - Phone:954-731-9676
Mailing Address - Fax:954-731-9747
Practice Address - Street 1:7800 SW 87TH AVE
Practice Address - Street 2:SUITE C-350
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2539
Practice Address - Country:US
Practice Address - Phone:305-271-4711
Practice Address - Fax:305-271-8732
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2011-10-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME93320208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272840100Medicaid