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Individual

ROXANNE DONNA-SHEA BOGALIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
14530 CALLEN GLEN WAY, WIMAUMA, FL 33598-6180
(941) 769-1650
Mailing address
14530 CALLEN GLEN WAY, WIMAUMA, FL 33598-6180
(941) 769-1650

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P5251927
FL
172V00000X
Community Health Worker
174H00000X
Health Educator
174N00000X
Lactation Consultant (Non-RN)
374J00000X
Doula

Other

Enumeration date
01/18/2019
Last updated
09/20/2023
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