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

Yana Petrovna Bogoslov

Individual provider Physician Assistant · NPI 1356125421

Yana Petrovna Bogoslov is a Physician Assistant in Daytona Beach, Florida. Qualified in 2023, 3 years ago. Practices with Florida Hospital Healthcare Partners, Inc, a 605-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

305 Memorial Medical Pkwy Ste 308
Daytona Beach, FL 32117-5137
Phone: (386) 231-3600
Fax: (386) 231-3602
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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 PA9118074 (FL)

Record details

NPI number1356125421
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Florida Hospital Healthcare Partners, Inc — 605 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Daytona Beach