Healthcare Provider Details

I. General information

NPI: 1164458949
Provider Name (Legal Business Name): MARIA F BADAMI D.O FABFM ACOFP AAFP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1562 SERENITY LN
SANIBEL FL
33957-4217
US

IV. Provider business mailing address

1562 SERENITY LN
SANIBEL FL
33957-4217
US

V. Phone/Fax

Practice location:
  • Phone: 239-233-5835
  • Fax:
Mailing address:
  • Phone: 239-233-5835
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS11125
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: