Healthcare Provider Details

I. General information

NPI: 1427256395
Provider Name (Legal Business Name): SARAH A. VOGLER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 07/30/2021
Certification Date: 07/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 SW INNOVATION WAY
PORT ST LUCIE FL
34987-2111
US

IV. Provider business mailing address

10000 SW INNOVATION WAY
PORT ST LUCIE FL
34987-2111
US

V. Phone/Fax

Practice location:
  • Phone: 772-345-8100
  • Fax:
Mailing address:
  • Phone: 772-345-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number54008
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number54008
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberME151925
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: