Individual
IEVA BOGOJEVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
399 9TH ST N STE 300, NAPLES, FL 34102-5820
(239) 624-4200
(239) 624-4201
Mailing address
399 9TH ST N STE 300, NAPLES, FL 34102-5820
(239) 624-4200
(239) 624-4201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9110069
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024119700
—
FL
01
—
2YTXC
BCBS
FL
01
—
JH424Z
MEDICARE
FL
Enumeration date
01/02/2017
Last updated
11/06/2018
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