Provider Demographics
NPI:1588621379
Name:MARGOLIES, RICHARD PRICE (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:PRICE
Last Name:MARGOLIES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RICHARD
Other - Middle Name:P
Other - Last Name:MARGOLIES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3355 BURNS RD
Mailing Address - Street 2:SUITE 205
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
Practice Address - Street 2:SUITE 205
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-27
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0045303207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL374706900Medicaid
FL374706900Medicaid
D57223Medicare UPIN