Provider Demographics
NPI:1447427745
Name:BOGLE, SARAH STINNETT (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:STINNETT
Last Name:BOGLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:STINNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 2699
Mailing Address - Street 2:ATTN: SHMG/HPE
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32513-2699
Mailing Address - Country:US
Mailing Address - Phone:850-278-3000
Mailing Address - Fax:850-475-4781
Practice Address - Street 1:7800 US HIGHWAY 98 W # ER
Practice Address - Street 2:
Practice Address - City:MIRAMAR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32550-7228
Practice Address - Country:US
Practice Address - Phone:850-278-3000
Practice Address - Fax:850-475-4781
Is Sole Proprietor?:No
Enumeration Date:2008-05-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME121059207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL14Z0VOtherBCBS FL
FL0142592-00Medicaid
FL0142592-00Medicaid