Provider Demographics
NPI:1366246803
Name:MARGULIS, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:MARGULIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3890 SW 64TH AVE APT 411
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33314-2588
Mailing Address - Country:US
Mailing Address - Phone:312-618-6999
Mailing Address - Fax:
Practice Address - Street 1:1776 N PINE ISLAND RD STE 208
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-5223
Practice Address - Country:US
Practice Address - Phone:561-774-8225
Practice Address - Fax:561-634-2776
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMT4195106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist