Organization
JOHN S BOGGS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S BOGGS MD (PRESIDENT)
(904) 388-5391
Entity
Organization
Contact information
Practice address
1820 BARRS ST, SUITE 104, JACKSONVILLE, FL 32204-4742
(904) 388-5391
(904) 387-8654
Mailing address
1820 BARRS ST, SUITE 104, JACKSONVILLE, FL 32204-4742
(904) 388-5391
(904) 387-8654
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME20523
FL
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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