Provider Demographics
NPI:1033166897
Name:TOLGYESI, SONIA (MD)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:TOLGYESI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:882 NW 66TH AVE
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1236
Mailing Address - Country:US
Mailing Address - Phone:954-560-2122
Mailing Address - Fax:305-223-3242
Practice Address - Street 1:14740 SW 26TH ST
Practice Address - Street 2:UNIT # 107
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33185-5948
Practice Address - Country:US
Practice Address - Phone:305-388-1118
Practice Address - Fax:305-223-3242
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME921702084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650926OtherFLORIDA BLUE
FL371633557330-001Medicare PIN
FL650926OtherFLORIDA BLUE