Organization
MAGDAN LLC
Active
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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