Individual
TAJANA BOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 S ORANGE BLOSSOM TRL STE 227, ORLANDO, FL 32805-3195
(407) 276-3685
(407) 674-8992
Mailing address
750 S ORANGE BLOSSOM TRL, ORLANDO, FL 32805-3118
(407) 276-3685
(407) 674-8992
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
10/28/2014
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