Bogle Medical Care and Aesthetics

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BOGLE MEDICAL CARE AND AESTHETICS

Practice address

1334 Oakcrest CT
Davenport, FL 33837-1707

Phone

(863) 409-6818

NPI assigned

Jan 25, 2023

Last updated

Jan 25, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacqueline Bogle, APRNNPI 1831667062

Title

Owner

Phone

(863) 409-6818

Specialties & licenses 1

Addresses

Other names 1

• Bogle Medical Care And Aesthetics Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline Bogle, APRN

  • Family Medicine Physician
  • Davenport, FL
  • NPI 1831667062
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1639885338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 OAKCREST CT",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338371707",
            "telephone_number": "863-409-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 OAKCREST CT",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338371707",
            "telephone_number": "863-409-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGLE MEDICAL CARE AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "BOGLE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-409-6818",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bogle Medical Care And Aesthetics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary L Bixler
• BJ's Wholesale Club Inc.
• Tatjana Blazin, MD
• Blossoms Assisted Living 1, LLC
• Alise Blount
• Jacqueline Bogle, APRN
• Alayne N Boland, ARNP-C
• Delainne Ivy Bond, RN
• Gina Bongirno, OTR/L
• Sheilla Bonilla

• Clinic/Center in Davenport, FL
• Providers in Davenport, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.