Individual
DR. BRIAN ROBERT BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 W COCOA BEACH CSWY, CAPE CANAVERAL HOSPITAL EMERGENCY ROOM, COCOA BEACH, FL 32931-3585
(321) 799-7150
(321) 868-7249
Mailing address
701 W COCOA BEACH CSWY, CAPE CANAVERAL HOSPITAL EMERGENCY ROOM, COCOA BEACH, FL 32931-3585
(321) 799-7150
(321) 868-7249
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME94032
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28695
BCBS
FL
Enumeration date
12/02/2005
Last updated
07/08/2007
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