Provider Demographics
NPI:1376732248
Name:TODOROV, MARGARITA GEORGIEVA (ARNP)
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:GEORGIEVA
Last Name:TODOROV
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MARGARITA
Other - Middle Name:GEORGIEVA
Other - Last Name:TODOROV
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:4129 N ARMENIA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6436
Mailing Address - Country:US
Mailing Address - Phone:813-879-3699
Mailing Address - Fax:813-873-8469
Practice Address - Street 1:4129 N ARMENIA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6436
Practice Address - Country:US
Practice Address - Phone:813-879-3699
Practice Address - Fax:813-873-8469
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9169349363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1068043OtherCAREPLUS
FL326761OtherAVMED
FL01260733OtherAMERIGROUP
FLNONEOtherTRICARE STANDARD-NORTHSIDE OFFICE
FLP304771OtherFREEDOM HEALTH
FL35027601OtherCITRUS-49TH STREET
FLP00662874OtherMEDICARE-RAILROAD
FL35027602OtherCITRUS-PASADENA AVE S
FLY131JOtherBLUE CROSS BLUE SHIELD OF FLORIDA
FL308887100OtherMEDIPASS
FL35027603OtherCITRUS-WEST BAY
FL201266825OtherBEECH STREET
FL308887100Medicaid
FL308887100Medicaid