Healthcare Provider Details

I. General information

NPI: 1699927798
Provider Name (Legal Business Name): MARGALI SAGAILLE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 HOLLYWOOD BLVD STE 2
HOLLYWOOD FL
33021-6538
US

IV. Provider business mailing address

5100 HOLLYWOOD BLVD STE 2
HOLLYWOOD FL
33021-6538
US

V. Phone/Fax

Practice location:
  • Phone: 954-589-1108
  • Fax: 754-241-2585
Mailing address:
  • Phone: 954-589-1108
  • Fax: 754-241-2585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number2845912
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2845912
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number2845912
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: