MEDICARE: DR. SERGIO BADEL M.D.

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	2084P0800X	Psychiatry Physician	ME98092	FL

General Provider Information

NPI Number	:	1710198213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SERGIO BADEL M.D.

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	:	954-775-3750

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	08/22/2022

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