Provider Demographics
NPI:1710198213
Name:BADEL, SERGIO (MD)
Entity Type:Individual
Prefix:DR
First Name:SERGIO
Middle Name:
Last Name:BADEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7957 N UNIVERSITY DR # 255
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-2601
Mailing Address - Country:US
Mailing Address - Phone:954-720-6511
Mailing Address - Fax:954-775-3750
Practice Address - Street 1:5411 N UNIVERSITY DR STE 203
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-4637
Practice Address - Country:US
Practice Address - Phone:954-720-6511
Practice Address - Fax:954-283-7640
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME980922084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAK371ZMedicare PIN