| Magdan Llc | |
|
9405 Cypress Lake Dr Ste 2 Fort Myers FL 33919-0909 | |
| (239) 372-6141 | |
| (239) 936-3391 |
| Full Name | Magdan Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9405 Cypress Lake Dr Ste 2, Fort Myers, Florida |
| Authorized Official Name and Position | Edna Muchugu (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2393726141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magdan Llc 9405 Cypress Lake Dr Ste 2 Fort Myers FL 33919-0909 Ph: () - | Magdan Llc 9405 Cypress Lake Dr Ste 2 Fort Myers FL 33919-0909 Ph: (239) 372-6141 |
| NPI Number | 1619755501 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/26/2023 |
| Medicare PECOS PAC ID | 1052774528 |
|---|---|
| Medicare Enrollment ID | O20240103000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619755501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Chadd K Eaglin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750599833 PECOS PAC ID: 9032381181 Enrollment ID: I20160225002528 |
| Provider Name | Christopher Zeoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477595114 PECOS PAC ID: 1557364148 Enrollment ID: I20201217000277 |
Tele-id Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14192 Metropolis Ave, Fort Myers, FL 33912 Phone: 239-245-8223 Fax: 239-244-9481 | |
Vg Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919 Phone: 978-495-0389 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13813 Metro Pkwy, Fort Myers, FL 33912 Phone: 855-674-4624 | |
Lch- Peds Page Field Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4751 S Cleveland Ave, Fort Myers, FL 33907 Phone: 239-343-9888 Fax: 239-343-9968 | |
Lch-internal Medicine Matthew Drive Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Matthew Dr, Fort Myers, FL 33907 Phone: 239-343-8220 Fax: 239-468-7909 | |
G & C Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave, Suite 208, Fort Myers, FL 33901 Phone: 786-991-4400 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908 Phone: 239-362-1450 Fax: 239-985-9629 |