Provider Demographics
NPI:1558969998
Name:GERMAN, MARGEAUX LYNN (APRN)
Entity Type:Individual
Prefix:
First Name:MARGEAUX
Middle Name:LYNN
Last Name:GERMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MARGEAUX
Other - Middle Name:LYNN
Other - Last Name:LIPPMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2600 S DOUGLAS RD STE 308
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6134
Mailing Address - Country:US
Mailing Address - Phone:813-538-7880
Mailing Address - Fax:813-538-7880
Practice Address - Street 1:7541 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33073-3510
Practice Address - Country:US
Practice Address - Phone:954-757-0140
Practice Address - Fax:954-757-0150
Is Sole Proprietor?:No
Enumeration Date:2020-10-16
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9342470163W00000X
FL11009800363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse