Provider Demographics
NPI:1932733540
Name:ABADIE, MAGALI C
Entity Type:Individual
Prefix:
First Name:MAGALI
Middle Name:C
Last Name:ABADIE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27911 CROWN LAKE BLVD STE 215
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-4218
Mailing Address - Country:US
Mailing Address - Phone:239-250-1926
Mailing Address - Fax:239-444-5951
Practice Address - Street 1:27911 CROWN LAKE BLVD STE 215
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-4218
Practice Address - Country:US
Practice Address - Phone:239-250-1926
Practice Address - Fax:239-444-5951
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide