Provider Demographics
NPI:1467762534
Name:SONIA TOLGYESI, PA
Entity Type:Organization
Organization Name:SONIA TOLGYESI, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:V
Authorized Official - Last Name:TOLGYESI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-560-2122
Mailing Address - Street 1:11880 SW 40TH ST
Mailing Address - Street 2:SUITE 405
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3584
Mailing Address - Country:US
Mailing Address - Phone:305-388-1118
Mailing Address - Fax:305-223-2973
Practice Address - Street 1:11880 SW 40TH ST
Practice Address - Street 2:SUITE 405
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3584
Practice Address - Country:US
Practice Address - Phone:305-388-1118
Practice Address - Fax:305-223-2973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-07
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME921702084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272576200Medicaid