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Individual

DR. RANDI D MARGOLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
3770 RIVERSIDE WAY, DELRAY BEACH, FL 33445-1284
(561) 666-7757
(561) 496-6739
Mailing address
3770 RIVERSIDE WAY, DELRAY BEACH, FL 33445-1284
(561) 666-7757
(561) 496-6739

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E3857
CA
213ES0131X
Foot Surgery Podiatrist
Primary
E3857
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AH184A
MEDICARE PTAN
FL
Enumeration date
06/14/2005
Last updated
02/04/2013
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