Provider Demographics
NPI:1710244215
Name:MCCARTHY, MARGUERITE CATHERINE (LM)
Entity Type:Individual
Prefix:
First Name:MARGUERITE
Middle Name:CATHERINE
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:MCCARTHY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LM
Mailing Address - Street 1:1082 BLACK ACRE TRL
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-4420
Mailing Address - Country:US
Mailing Address - Phone:407-234-7482
Mailing Address - Fax:
Practice Address - Street 1:1082 BLACK ACRE TRL
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-4420
Practice Address - Country:US
Practice Address - Phone:407-234-7482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-20
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW261176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife