LAURIE ALLISON BOGE

MIAMI, FL
NPI1922025808
Former NameLAURIE BOYD PEMBERTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: FL  OS10258)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: PA  OS013725)
Enumeration Date2006-07-16
Last Update Date2013-08-21
Business Address
-- LAURIE ALLISON BOGE DO
3663 S MIAMI AVE
MIAMI, FL 33133
Phone number: 305-285-2172
Mailing Address
-- LAURIE ALLISON BOGE DO
3080 INDIANA ST
MIAMI, FL 33133
Phone number: 254-702-8210