Individual
RYAN ALEXANDER CU BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 6TH AVE S STE 120, ST PETERSBURG, FL 33701-4654
(727) 322-4848
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME128113
FL
2080P0202X
Pediatric Cardiology Physician
Primary
ME128113
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2013
Last updated
01/01/2025
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