Provider Demographics
NPI:1720494933
Name:MARGOLIN, FRANCINE II
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:
Last Name:MARGOLIN
Suffix:II
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 1:14631 SAFE LANDING CT
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-4932
Mailing Address - Country:US
Mailing Address - Phone:239-565-5969
Mailing Address - Fax:239-432-9631
Practice Address - Street 1:14631 SAFE LANDING CT
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-4932
Practice Address - Country:US
Practice Address - Phone:239-565-5969
Practice Address - Fax:239-432-9631
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-08
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA 13473224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant