Individual
ALEXANDRA BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3278
(321) 434-1401
(321) 434-1667
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9117614
FL
Other
Enumeration date
05/22/2023
Last updated
07/12/2023
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