MEDICARE: MS. DENISE M. BRUGMAN AP

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	171100000X	Acupuncturist	AP1806	FL

General Provider Information

NPI Number	:	1669618245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DENISE M. BRUGMAN AP

Provider Business Mailing Address
First Line	:	PO BOX 4562
Second Line	:
City	:	HALLANDALE
State	:	FL
Zip	:	33008-4562
Country	:	US
Telephone Number	:	954-471-2077
Fax Number	:	954-935-9601

Provider Business Practice Location Address
First Line	:	3033 NW 118TH DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-3357
Country	:	US
Telephone Number	:	954-471-2077
Fax Number	:	954-935-9601

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

Provider Enumeration Date	:	01/02/2009
Last Update Date	:	01/02/2009

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