Provider Demographics
NPI:1750841243
Name:GODOY, MARGARITA
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:GODOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARGARITA
Other - Middle Name:
Other - Last Name:GODOY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3098 FOREST HILL BLVD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33406-5940
Mailing Address - Country:US
Mailing Address - Phone:561-968-7600
Mailing Address - Fax:561-968-0443
Practice Address - Street 1:3098 FOREST HILL BLVD UNIT 1
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33406-5940
Practice Address - Country:US
Practice Address - Phone:561-968-7600
Practice Address - Fax:561-968-0443
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11001714363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily