MEDICARE: BRIANNA JANETTE MARCHEGIANI CCC-SLP

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
1	235Z00000X	Speech-Language Pathologist	SA20345	FL

General Provider Information

NPI Number	:	1588391601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA JANETTE MARCHEGIANI CCC-SLP

Provider Business Mailing Address
First Line	:	1999 NW 136TH AVE APT 352
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33323-5366
Country	:	US
Telephone Number	:	941-702-0181
Fax Number	:

Provider Business Practice Location Address
First Line	:	1931 NE 47TH STREET
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308
Country	:	US
Telephone Number	:	951-542-3480
Fax Number	:	954-414-9751

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2022
Last Update Date	:	08/29/2022

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