Individual provider · Type 1 NPI

Sandy Brogan

Comprehensive Outpatient Rehabilitation Facility (CORF) · Port Charlotte, FL

NPI number 1407499387 Active

Practice location

4161 Tamiami Trail, Unit 704
Port Charlotte, FL 33952-9283

Mailing address

4161 Tamiami Trl Ste 704
Port Charlotte, FL 33952-9283

Specialties and licenses

TaxonomyCodeLicense
Comprehensive Outpatient Rehabilitation Facility (CORF) Primary 261QR0401XPTA29316 (FL)

Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...

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About NPI 1407499387

Sandy Brogan's National Provider Identifier is 1407499387, issued on Oct 23, 2019. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Port Charlotte, FL. The record was last updated on Oct 23, 2019.