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MAGDAN LLC
NPI 1619755501
Clinic/Center in Fort Myers, FL

Active since September 20, 2023
9405 CYPRESS LAKE DR STE 2, FORT MYERS, FL 33919(239) 372-6141(239) 936-3391 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Magdan Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGDAN LLC (NPI 1619755501) is a healthcare organization registered as a clinic/center in Fort Myers, Florida and active in the NPI registry since September 2023. The organization lists Edna Muchugu, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1619755501
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMAGDAN LLC
Location Address9405 CYPRESS LAKE DR STE 2Fort Myers, FL 33919-0909
Mailing Address9405 Cypress Lake Dr Ste 2Fort Myers, FL 33919-0909
Phone(239) 372-6141
Fax(239) 936-3391
Organization SubpartYes
Authorized OfficialEdna MuchuguExecutive Director · (239) 372-6141
Enumeration DateSeptember 20, 2023
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1619755501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
9405 CYPRESS LAKE DR STE 2, Fort Myers, FL 33919
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAGDAN LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
9405 CYPRESS LAKE DR STE 2
FORT MYERS, FL 33919
Lee County (239) 372-6141
MS. SUSAN ELAINE GORDON LCSW
Social Worker (Clinical)
9405 CYPRESS LAKE DR STE 2
FORT MYERS, FL 33919
Lee County (239) 946-4131
BRIDGE FOR THE LIFE HEALTH SERVICE LLC
Behavior Analyst
9405 CYPRESS LAKE DR STE 2
FORT MYERS, FL 33919
Lee County (786) 290-8195

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magdan LLC's NPI number?

The NPI number for Magdan LLC is 1619755501. It was assigned to this organization in the NPPES registry on September 20, 2023.

Where is Magdan LLC located?

Magdan LLC is located at 9405 Cypress Lake Dr Ste 2, Fort Myers, FL 33919. The listed phone number is (239) 372-6141.

What is Magdan LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Magdan LLC was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.