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Samantha Bogard, DO
Student in an Organized Health Care Education/Training Program in Tampa, Florida
NPI 1053161075

Samantha Bogard is a Student in an Organized Health Care Education/Training Program based in Wildwood, FL. Samantha Bogard practices in Tampa, FL and has the professional credentials of DO. The NPI Number for Samantha Bogard is 1053161075 and holds a License No. (Florida).

The current practice location address for Samantha Bogard is 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL and can be reached out via phone at 813-554-8126.

Location: 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL, 63011-1992
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053161075
Provider Name
Samantha Bogard
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3003 W Dr Martin Luther King Jr Blvd, Tampa, FL, 63011-1992
Phone Number
813-554-8126
Fax Number
Provider Enumeration Date
03/25/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3003 W Dr Martin Luther King Jr Blvd
City
Tampa
State
Florida
Zip
33607-6307
Phone Number
813-554-8126
Fax Number
person
Provider Business Mailing Address Details
Address
3003 W Dr Martin Luther King Jr Blvd
City
Tampa
State
Florida
Zip
33607-6307
Phone Number
813-554-8126
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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