Healthcare Provider Details

I. General information

NPI: 1497612147
Provider Name (Legal Business Name): BOOGIES TRUCKING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4409 ERIE ST
CLERMONT FL
34714-6520
US

IV. Provider business mailing address

4409 ERIE ST
CLERMONT FL
34714-6520
US

V. Phone/Fax

Practice location:
  • Phone: 614-780-0184
  • Fax:
Mailing address:
  • Phone: 614-780-0184
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SEKHAR SAMAROO
Title or Position: OWNER
Credential:
Phone: 614-780-0184