Provider Demographics
NPI:1669720710
Name:LOUINE, MARGARETTE
Entity type:Individual
Prefix:
First Name:MARGARETTE
Middle Name:
Last Name:LOUINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9498 S MILITARY TRL
Mailing Address - Street 2:UNIT 5
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-2919
Mailing Address - Country:US
Mailing Address - Phone:561-704-4925
Mailing Address - Fax:
Practice Address - Street 1:9498 S MILITARY TRL
Practice Address - Street 2:UNIT 5
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-2919
Practice Address - Country:US
Practice Address - Phone:561-704-4925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-21
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCRT64216247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist