NPI | 1710761283 |
---|---|
Doing Business As | BOGER'S SHOES, INC |
Entity Type | Organization |
Authorized Contact | ERIKA BOGER Officer 904-356-0459 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2023-08-24 |
Last Update Date | 2023-08-24 |