Luz Fabiola Bogle, PA-C is a
Physician Assistant based in Alachua, Florida. Luz Fabiola Bogle is licensed to practice in Florida (license number PA9113683) and her current practice location is
14822 Main St, Alachua, Florida. She can be reached at her office (for appointments etc.) via phone at
(386) 518-6089.
NPI number for Luz Fabiola Bogle is 1700483260 and her current mailing address is 4687 Merlot Dr, Rockledge, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700483260.
Provider's Profile
| Full Name | Luz Fabiola Bogle |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 14822 Main St, Alachua, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700483260
- Provider Enumeration Date: 10/07/2020
- Last Update Date: 06/18/2024
Medical Identifiers
Medical identifiers for Luz Fabiola Bogle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700483260 | NPI | - | NPPES |
| PA9113683 | Other | FL | PHYSICIAN ASSISTANT LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA9113683 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Luz Fabiola Bogle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Luz Fabiola Bogle, PA-C
4687 Merlot Dr,
Rockledge, FL 32955-5192
Ph: (321) 423-0777 | Luz Fabiola Bogle, PA-C
14822 Main St,
Alachua, FL 32615-8590
Ph: (386) 518-6089 |
Reviews and Comments