Organization
SAMUEL J. MARGIOTTA, JR, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL J. MARGIOTTA M.D. (PRESIDENT)
(561) 784-7000
Entity
Organization
Contact information
Practice address
13005 SOUTHERN BLVD, STE 231, LOXAHATCHEE, FL 33470-9206
(561) 784-7000
Mailing address
13005 SOUTHERN BLVD, STE 231, LOXAHATCHEE, FL 33470-9206
(561) 784-7000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94956
BLUE CROSS GROUP NUMBER
FL
Enumeration date
10/18/2006
Last updated
08/22/2020
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