Bogel, Susan Carol

Bogel, Susan Carol is an individual health care provider with primary practice located at 1600 Lakeland Hills Blvd , Lakeland FL 33805-3019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Bogel, Susan Carol can be contacted via phone (863) 680-7000.

Contact Information

Primary practice address
1600 Lakeland Hills Blvd Lakeland FL 33805-3019
Fax: (866) 264-8519
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP765712 Florida

Profile Details

NPI number 1376514869
LBN Legal business name Bogel, Susan Carol
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Jun 21st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376514869 NPPES
Florida MEDICAID 303701100

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