Provider Demographics
NPI:1558696831
Name:EPSTEIN, MARGUERITE CECILIA (LM)
Entity Type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:CECILIA
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5480 JOSHUA ST
Mailing Address - Street 2:
Mailing Address - City:KEYSTONE HEIGHTS
Mailing Address - State:FL
Mailing Address - Zip Code:32656-8330
Mailing Address - Country:US
Mailing Address - Phone:352-215-4848
Mailing Address - Fax:888-600-0178
Practice Address - Street 1:5480 JOSHUA ST
Practice Address - Street 2:
Practice Address - City:KEYSTONE HEIGHTS
Practice Address - State:FL
Practice Address - Zip Code:32656-8330
Practice Address - Country:US
Practice Address - Phone:352-215-4848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-05
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW42176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife