Provider Demographics
NPI:1679398242
Name:MARGATE PHYSICIANS GROUP CORP
Entity type:Organization
Organization Name:MARGATE PHYSICIANS GROUP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERAMY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-585-2452
Mailing Address - Street 1:201 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-4556
Mailing Address - Country:US
Mailing Address - Phone:954-532-0791
Mailing Address - Fax:
Practice Address - Street 1:201 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-4556
Practice Address - Country:US
Practice Address - Phone:954-532-0791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty