Bogers Shoes Inc

LBN: Boger Enterprises Inc
Bogers Shoes Inc is an health care organization with primary practice located at 845 Blanding Blvd , Orange Park FL 32065-8947. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Boger Enterprises Inc can be contacted via phone (904) 356-0459, or through Boger, Brett W via phone (904) 356-0459.

Contact Information

Primary practice address
845 Blanding Blvd Orange Park FL 32065-8947
Fax:
Website:
Authorized official contact:
Name: Boger, Brett W CPED

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PED179 Florida

Profile Details

NPI number 1952310963
LBN Legal business name Boger Enterprises Inc
DBA Doing business as Bogers Shoes Inc
Authorized official Boger, Brett W CPED
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2006
Last updated Dec 21st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952310963 NPPES
Florida MEDICAID 028730000
Florida MEDICAID 671169396

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