MEDICARE: AMBER VOGT APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN9367542	FL
2	363LF0000X	Family Nurse Practitioner	APRN11004144	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	APRN11004144	OTHER	FL	APRN
2	RN9367542	OTHER	FL	NURSE LISCENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710531645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER VOGT APRN

Provider Business Mailing Address
First Line	:	4331 E SILVER SPRINGS BLVD
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-5001
Country	:	US
Telephone Number	:	352-663-8700
Fax Number	:	352-663-8878

Provider Business Practice Location Address
First Line	:	4331 E SILVER SPRINGS BLVD
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-5001
Country	:	US
Telephone Number	:	352-663-8700
Fax Number	:	352-663-8878

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2019
Last Update Date	:	10/15/2025

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