MEDICARE: SERGIO BADEL MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center	ME98092	FL
2	2084P0800X	Psychiatry Physician	ME98092	FL

General Provider Information

NPI Number	:	1235464876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERGIO BADEL MD PA

Provider Business Mailing Address
First Line	:	7957 N UNIVERSITY DR # 255
Second Line	:
City	:	PARKLAND
State	:	FL
Zip	:	33067-2601
Country	:	US
Telephone Number	:	954-720-6511
Fax Number	:	954-283-7640

Provider Business Practice Location Address
First Line	:	5411 N UNIVERSITY DR STE 203
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4637
Country	:	US
Telephone Number	:	954-720-6511
Fax Number	:	954-283-7640

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SERGIO BADEL
Credential	:	MD
Telephone Number	:	954-720-6511

Provider Enumeration Date	:	10/15/2009
Last Update Date	:	08/22/2022

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