Individual
RONALD SCOTT BOGATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
347 SHORE DR E, OLDSMAR, FL 34677-3915
(727) 729-0108
Mailing address
347 SHORE DR E, OLDSMAR, FL 34677-3915
(727) 729-0108
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0044404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042415300
—
FL
01
—
53794
BLUE SHIELD OF FL
FL
Enumeration date
06/12/2006
Last updated
05/10/2017
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