Individual
MR. MICHAEL SHANE VOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2480 BON HOMMES RICHARD STREET, JACKSONVILLE, FL 32227
(803) 579-0540
Mailing address
651 HOLLIS LAKES RD, ROCK HILL, SC 29732-9316
(803) 487-8004
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
06/11/2020
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