Healthcare Provider Details

I. General information

NPI: 1710972534
Provider Name (Legal Business Name): MARY ANNE BUGGIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY ANNE GEBLER M.D.

II. Dates (important events)

Enumeration Date: 09/19/2005
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 10TH AVE N
PALM SPRINGS FL
33461-3100
US

IV. Provider business mailing address

5183 SE GRAHAM DR
STUART FL
34997-1556
US

V. Phone/Fax

Practice location:
  • Phone: 561-540-4445
  • Fax: 561-540-4430
Mailing address:
  • Phone: 561-951-1597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME56540
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: