Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tanya R. Bogle, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316380041

Dr. Tanya R. Bogle, MD is a Student in an Organized Health Care Education/Training Program in Lutz, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

17645 Jamestown Way
Lutz, FL 33558-7706
Phone: (423) 718-2698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15416 N Florida Ave, Tampa, FL 33613-1244 — (813) 960-2400

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME122205 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1316380041
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2013
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024

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