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MAGDAN LLC NPI 1619755501


NPI Information

NPI: 1619755501
Provider Name: MAGDAN LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
9405 CYPRESS LAKE DR STE 2
FORT MYERS, FL
ZIP 33919
Phone: (239) 372-6141
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MAGDAN LLC is a clinic center in Fort Myers, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MAGDAN LLC NPI is 1619755501. The provider is registered as an organization entity type.

The provider's business location address is:

9405 CYPRESS LAKE DR STE 2
FORT MYERS, FL
ZIP 33919-909
Phone: (239) 372-6141
Fax: (239) 936-3391

The provider's authorized official is Edna Muchugu .
The authorized official title is Executive Director and has the following contact phone number (239) 372-6141.

The enumeration date for this NPI number is 9/20/2023 and was last updated on 9/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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