Shannon Bogle is a Orthopedic in Tampa, Florida. Shannon Bogle practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Shannon Bogle is 1851401582. The last update date is 2010-12-13.
Shannon Bogle's current location address is 2106 S Lois Ave, Tampa, Florida. You can contact this provider via phone number 8132879370. The mailing address for Shannon Bogle is 2106 S Lois Ave, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon Bogle |
|---|---|
| Address | 2106 S Lois Ave, Tampa, Florida |
| Phone Number | 8132879370 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1851401582 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2010-12-13 |
Provider Mailing Address Detail
| Address | 2106 S Lois Ave |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336295659 |
| Phone Number | 8132879370 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | PT12643 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00465914 | FL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shannon Bogle?
The Shannon Bogle has been issued the NPI (National Provider Identifier) 1851401582 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Shannon Bogle's facilities are geographically located?
The facilities of Shannon Bogle are physically situated at the following location: 2106 S Lois Ave, Tampa, FL, 336295659.
What is the Shannon Bogle's specialty and taxonomy code?
The Shannon Bogle's specialty is Orthopedic, and the corresponding taxonomy code is 2251X0800X.
On what date did the Shannon Bogle receive the assignment of its 1851401582 from the Centers for Medicare & Medicaid Services?
The Shannon Bogle was issued its 1851401582 by the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the details pertaining to Shannon Bogle last refreshed?
The information related to the Shannon Bogle, including its address, specialty, and other relevant details, was last updated on 2010-12-13.