Provider Demographics
NPI:1659465573
Name:MARGULIAN, SERGEI (MD)
Entity type:Individual
Prefix:DR
First Name:SERGEI
Middle Name:
Last Name:MARGULIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4296 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3007
Mailing Address - Country:US
Mailing Address - Phone:888-460-1147
Mailing Address - Fax:888-460-2596
Practice Address - Street 1:4296 S UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3007
Practice Address - Country:US
Practice Address - Phone:888-460-1147
Practice Address - Fax:888-460-2596
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME123908207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine