Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700483260 Individual Practitioner Female Practitioner

Luz Fabiola Bogle , PA-C

Physician Assistant • Alachua, FL

Professional Overview & Biography Verified Profile Summary

Luz Bogle, PA-C is a registered healthcare professional specializing in Physician Assistant in Alachua, FL. Practice services are available at 14822 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14822 Main St

Alachua, FL 326158590

Telephone 3865186089

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Alachua, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Alachua, FL (10376 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9113683

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Physician Assistant License
PA9113683 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Meagan Zakheim , PA

Physician Assistant

NPI 1558863837

Physician Assistant

Mary Whitehurst , LCSW

Social Worker - Clinical

NPI 1982401121

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location June 18, 2024

Registered at 14822 MAIN ST, ALACHUA, FL 326158590 (Tel: 3865186089)

NPI Profile Active October 07, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 07, 2020

Registered at 4687 MERLOT DR, ROCKLEDGE, FL 329555192 (Tel: 3214230777)

📍
Updated Business Mailing Address October 07, 2020

Registered at 4687 MERLOT DR, ROCKLEDGE, FL 329555192 (Tel: 3214230777)

👤
Provider Name / Credentials Updated October 07, 2020

Recorded as LUZ BOGLE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2020

Physician Assistant (License #PA9113683 in FL)

🟢
Initial NPI Registration & Enumeration October 07, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700483260
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 07, 2020
Last Update: June 18, 2024
Sole Proprietor: No

Mailing Address

4687 Merlot Dr

Rockledge, FL 329555192

Phone: 3214230777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.