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Contact Information

SYREETA BOGAN, APRN
116 PARSONS PARK DR
BRANDON, FL33511-6066
 Phone: 813-684-5255
 Fax: 813-654-7457
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SYREETA BOGAN · (Female)

NPI Number 1962181263
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 07/13/2023
Last updated 04/23/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 11023578
  • FL License # APRN11023578
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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