Provider Demographics
NPI:1699927798
Name:SAGAILLE, MARGALI (APRN)
Entity type:Individual
Prefix:
First Name:MARGALI
Middle Name:
Last Name:SAGAILLE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5100 HOLLYWOOD BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6538
Mailing Address - Country:US
Mailing Address - Phone:954-589-1108
Mailing Address - Fax:754-241-2585
Practice Address - Street 1:5100 HOLLYWOOD BLVD STE 2
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6538
Practice Address - Country:US
Practice Address - Phone:954-589-1108
Practice Address - Fax:754-241-2585
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2845912363LA2200X, 363LP0808X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health