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

Luz Fabiola Bogle, PA-C

Individual provider Physician Assistant · NPI 1700483260

Luz Fabiola Bogle, PA-C is a Physician Assistant in Alachua, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

14822 Main St
Alachua, FL 32615-8590
Phone: (386) 518-6089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9113683 (FL)

Record details

NPI number1700483260
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 7, 2020
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024
Mailing address4687 Merlot Dr, Rockledge, FL 32955-5192

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