Organization
BOGER ENTERPRISES, INC
Active
Parent organization
BOGER ENTERPRISES INC
Other names
Boger's Shoes, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOGER ENTERPRISES INC
Authorized official
ERIKA BOGER (OFFICER)
(904) 356-0459
Entity
Organization
Contact information
Practice address
624 GOODWIN ST UNIT 8, JACKSONVILLE, FL 32204-3214
(904) 356-0459
(904) 356-0450
Mailing address
1014 PARK ST, JACKSONVILLE, FL 32204-3908
(904) 356-0459
(904) 356-0450
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017819100
—
FL
Enumeration date
08/24/2023
Last updated
08/24/2023
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