Provider Demographics
NPI:1952763401
Name:DAVID, MARGARITA N (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:N
Last Name:DAVID
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:DR
Other - First Name:MARGARITA
Other - Middle Name:PATRICIA
Other - Last Name:NIETO MORENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MBA
Mailing Address - Street 1:801 INTERNATIONAL PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-4763
Mailing Address - Country:US
Mailing Address - Phone:407-576-2576
Mailing Address - Fax:888-440-7359
Practice Address - Street 1:801 INTERNATIONAL PKWY STE 500
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-4763
Practice Address - Country:US
Practice Address - Phone:407-576-2576
Practice Address - Fax:888-440-7359
Is Sole Proprietor?:No
Enumeration Date:2016-03-23
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME138394207SG0201X, 207SG0202X
CAA191736207SG0202X, 207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
No207SG0202XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Biochemical Genetics