SANDY BROGAN NPI 1407499387

NPI Information

NPI: 1407499387
Provider Name: SANDY BROGAN
Classification: Clinic/Center - 261QR0401X
Entity Type: Individual

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
4161 TAMIAMI TRAIL
UNIT 704
PORT CHARLOTTE, FL
ZIP 33952
Phone: (941) 625-1110
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Sandy Brogan is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Port Charlotte, FL. Sandy Brogan NPI is 1407499387. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4161 TAMIAMI TRAIL
UNIT 704
PORT CHARLOTTE, FL
ZIP 33952-283
Phone: (941) 625-1110

The enumeration date for this NPI number is 10/23/2019 and was last updated on 10/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	PTA29316	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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