Provider Demographics
NPI:1730377276
Name:DUCARMEL AUGUSTIN MD PA
Entity type:Organization
Organization Name:DUCARMEL AUGUSTIN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:DUCARMEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AUGUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-971-0330
Mailing Address - Street 1:100 N STATE ROAD 7
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-4520
Mailing Address - Country:US
Mailing Address - Phone:954-971-0330
Mailing Address - Fax:954-971-0023
Practice Address - Street 1:100 N STATE ROAD 7
Practice Address - Street 2:SUITE 204
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-4520
Practice Address - Country:US
Practice Address - Phone:954-971-0330
Practice Address - Fax:954-971-0023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME45717207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD20764Medicare UPIN
FLK5713Medicare PIN