Organization
MARGOLIN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY ALAN MARGOLIN M.D. (PRESIDENT)
(727) 442-2193
Entity
Organization
Contact information
Practice address
501 S LINCOLN AVE, SUITE 26, CLEARWATER, FL 33756-5945
(727) 442-2193
(727) 466-6483
Mailing address
501 S LINCOLN AVE, SUITE 26, CLEARWATER, FL 33756-5945
(727) 442-2193
(727) 466-6483
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049423200
—
FL
Enumeration date
07/11/2007
Last updated
10/19/2010
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