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BOGER ENTERPRISES INC NPI 1952310963


NPI Information

NPI: 1952310963
Provider Name: BOGER ENTERPRISES INC

Doing Business As: BOGERS SHOES INC

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1014 PARK STREET
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 356-0459
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BOGER ENTERPRISES INC is a durable medical equipment medical supplies in Jacksonville, FL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. BOGER ENTERPRISES INC NPI is 1952310963. The provider is registered as an organization entity type.
The provider Is Doing Business As Bogers Shoes Inc.

The provider's business location address is:

1014 PARK STREET
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 356-0459

The provider's authorized official is Brett W Boger .
The authorized official title is Director and has the following contact phone number (904) 356-0459.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 5/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesPED179FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1671169396MEDICAIDFLORIDA
2028730000MEDICAIDFLORIDA
30723400001MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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