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Dr. Tanya R. Bogle, MD
Family Medicine Physician in Lutz, Florida
NPI 1316380041

Tanya R. Bogle is a Family Medicine Physician based in Lutz, FL. Tanya R. Bogle practices in Lutz, FL and has the professional credentials of MD. The NPI Number for Tanya R. Bogle is 1316380041 and holds a License No. (Florida).

The current practice location address for Tanya R. Bogle is 17645 Jamestown Way, Lutz, FL and can be reached out via phone at 423-718-2698.

Location: 17645 Jamestown Way, Lutz, FL, 33558-7706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316380041
Provider Name
Tanya R. Bogle
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
17645 Jamestown Way, Lutz, FL, 33558-7706
Phone Number
423-718-2698
Fax Number
Provider Enumeration Date
04/11/2013
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019674600 05 FL
institution
Provider Business Practice Location Address Details
Address
17645 Jamestown Way
City
Lutz
State
Florida
Zip
33558-7706
Phone Number
423-718-2698
Fax Number
person
Provider Business Mailing Address Details
Address
17645 Jamestown Way
City
Lutz
State
Florida
Zip
33558-7706
Phone Number
423-718-2698
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME122205 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
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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