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NPI Code Detail

MEDICARE: HEIDI BRENGYA

MEDICARE:   HEIDI  BRENGYA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171R00000XInterpreter11224477FL

General Provider Information

NPI Number : 1366339335
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI BRENGYA
Provider Business Mailing Address
First Line : 200 NE 12TH AVE APT 7B
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-4555
Country : US
Telephone Number : 754-244-2625
Fax Number :
Provider Business Practice Location Address
First Line : 200 NE 12TH AVE APT 7B
Second Line :
City : HALLANDALE BEACH
State : FL
Zip : 33009-4555
Country : US
Telephone Number : 754-244-2625
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2025
Last Update Date : 06/21/2025

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Directions to “ HEIDI BRENGYA ” Practice Location

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