LUZ FABIOLA BOGLE

ALACHUA, FL
NPI1700483260
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9113683)
Enumeration Date2020-10-07
Last Update Date2024-06-18
Business Address
LUZ FABIOLA BOGLE PA-C
14822 MAIN ST
ALACHUA, FL 32615-8590
Phone number: 386-518-6089
Mailing Address
LUZ FABIOLA BOGLE PA-C
4687 MERLOT DR
ROCKLEDGE, FL 32955-5192
Phone number: 321-423-0777