Healthcare Provider Details

I. General information

NPI: 1235464876
Provider Name (Legal Business Name): SERGIO BADEL MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2009
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5571 N UNIVERSITY DR STE 101
CORAL SPRINGS FL
33067-4653
US

IV. Provider business mailing address

5571 N UNIVERSITY DR STE 101
CORAL SPRINGS FL
33067-4653
US

V. Phone/Fax

Practice location:
  • Phone: 954-720-6511
  • Fax: 954-405-8754
Mailing address:
  • Phone: 954-720-6511
  • Fax: 954-283-7640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME98092
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberME98092
License Number StateFL

VIII. Authorized Official

Name: SERGIO BADEL
Title or Position: PRESIDENT
Credential: MD
Phone: 954-720-6511