Provider Demographics
NPI:1245952027
Name:SAGNELLA, ALBERT MICHAEL (APRN-FNP-C)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:MICHAEL
Last Name:SAGNELLA
Suffix:
Gender:M
Credentials:APRN-FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 OSPREY LANDING DR
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33813-5614
Mailing Address - Country:US
Mailing Address - Phone:727-744-0732
Mailing Address - Fax:
Practice Address - Street 1:1420 OSPREY LANDING DR
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33813-5614
Practice Address - Country:US
Practice Address - Phone:727-744-0732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11021673207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine