Provider Demographics
NPI:1669618245
Name:BRUGMAN, DENISE M (AP)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:M
Last Name:BRUGMAN
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4562
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33008-4562
Mailing Address - Country:US
Mailing Address - Phone:954-471-2077
Mailing Address - Fax:954-935-9601
Practice Address - Street 1:3033 NW 118TH DR
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-3357
Practice Address - Country:US
Practice Address - Phone:954-471-2077
Practice Address - Fax:954-935-9601
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-02
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1806171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist