Individual
DR. RAUL R. BOGGIO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
5751 HOOVER BLVD, TAMPA, FL 33634-5340
(813) 886-8334
(813) 890-0143
Mailing address
5751 HOOVER BLVD, TAMPA, FL 33634-5340
(813) 886-8334
(813) 890-0143
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME0025647
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52783100
—
FL
Enumeration date
02/01/2006
Last updated
07/08/2007
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