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Individual

DR. JOHN SCOTT BOGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1820 BARRS ST, SUITE 104, JACKSONVILLE, FL 32204-4742
(904) 388-5391
Mailing address
1820 BARRS ST., SUITE 104, JACKSONVILLE, FL 32204-4716
(904) 388-5391

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0020523
FL

Other

Enumeration date
10/25/2006
Last updated
07/08/2007
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