Organization
BOGER ENTERPRISES INC
Active
Other names
Bogers Shoes Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT W BOGER CPED (DIRECTOR)
(904) 356-0459
Entity
Organization
Contact information
Practice address
845 BLANDING BLVD, ORANGE PARK, FL 32065-8947
(904) 356-0459
Mailing address
845 BLANDING BLVD, ORANGE PARK, FL 32065-8947
(904) 356-0459
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PED179
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028730000
—
FL
05
—
671169396
—
FL
Enumeration date
08/07/2006
Last updated
04/22/2026
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