Provider Demographics
NPI:1710951132
Name:GURRI, MARGARITA E (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:E
Last Name:GURRI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 S FEDERAL HWY
Mailing Address - Street 2:NO. 5
Mailing Address - City:DANIA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33004-3648
Mailing Address - Country:US
Mailing Address - Phone:954-609-9904
Mailing Address - Fax:954-923-1399
Practice Address - Street 1:38 S FEDERAL HWY
Practice Address - Street 2:NO. 5
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-3648
Practice Address - Country:US
Practice Address - Phone:954-609-9904
Practice Address - Fax:954-923-1399
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 6626103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL54897OtherBCBS PROVIDER NUMBER