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NPI Code Detail

MEDICARE: CHELSEA BOGART

MEDICARE: CHELSEA BOGART
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
1235Z00000XSpeech-Language Pathologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861129413
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEA BOGART
Provider Business Mailing Address
First Line : 2770 ALDER AVE
Second Line :
City : MIDDLETON
State : FL
Zip : 34762-6119
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 619 W DIXIE AVE
Second Line :
City : LEESBURG
State : FL
Zip : 34748-2602
Country : US
Telephone Number : 800-378-7597
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2022
Last Update Date : 12/23/2024

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Directions to “ CHELSEA BOGART ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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