Provider Demographics
NPI:1952763401
Name:DAVID, MARGARITA NIETO (MD, MBA)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:NIETO
Last Name:DAVID
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:
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Mailing Address - Street 1:601 E ROLLINS ST STE 125
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-1248
Mailing Address - Country:US
Mailing Address - Phone:407-303-5815
Mailing Address - Fax:407-303-0847
Practice Address - Street 1:601 E ROLLINS ST STE 125
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1248
Practice Address - Country:US
Practice Address - Phone:407-303-5815
Practice Address - Fax:407-303-0847
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME138394207SG0201X, 207SG0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0202XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Biochemical Genetics
No207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)