MEDICARE: DR. MARY ANNE BUGGIA MD

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	208D00000X	General Practice Physician	ME56540	FL

General Provider Information

NPI Number	:	1710972534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY ANNE BUGGIA MD

Provider Business Mailing Address
First Line	:	5183 SE GRAHAM DR
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34997-1556
Country	:	US
Telephone Number	:	561-951-1597
Fax Number	:

Provider Business Practice Location Address
First Line	:	2720 10TH AVE N
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-3100
Country	:	US
Telephone Number	:	561-540-4445
Fax Number	:	561-540-4430

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

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	12/13/2025

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