Organization
MAGDAN LLC
Active
Parent organization
MAGDAN LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAGDAN LLC
Authorized official
EDNA MUCHUGU (EXECUTIVE DIRECTOR)
(239) 372-6141
Entity
Organization
Contact information
Practice address
9405 CYPRESS LAKE DR STE 2, FORT MYERS, FL 33919-0909
(239) 372-6141
(239) 936-3391
Mailing address
9405 CYPRESS LAKE DR STE 2, FORT MYERS, FL 33919-0909
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2023
Last updated
09/26/2023
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