Provider Demographics
NPI:1629077821
Name:MARGOLIS, JAMES R (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:MARGOLIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3801 BISCAYNE BLVD
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-9800
Mailing Address - Country:US
Mailing Address - Phone:305-571-0620
Mailing Address - Fax:305-576-8099
Practice Address - Street 1:3801 BISCAYNE BLVD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-9800
Practice Address - Country:US
Practice Address - Phone:305-571-0620
Practice Address - Fax:305-576-8099
Is Sole Proprietor?:No
Enumeration Date:2005-07-19
Last Update Date:2010-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME27019207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL058218200Medicaid
FL058218200Medicaid
D60105Medicare UPIN
FL92560FMedicare PIN