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NPI Code Detail

MEDICARE: RALPH B BOGGS MD

MEDICARE: RALPH B BOGGS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianME0051778FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
223280OTHERFLBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992790422
Entity Type Code : Individual
Provider Name (Legal Business Name) : RALPH B BOGGS MD
Provider Business Mailing Address
First Line : 2165 HERSCHEL ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-3819
Country : US
Telephone Number : 904-387-4030
Fax Number : 904-381-9808
Provider Business Practice Location Address
First Line : 1800 BARRS ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32204-4704
Country : US
Telephone Number : 904-387-4030
Fax Number : 904-381-9808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 07/08/2007

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Directions to “ RALPH B BOGGS MD” Practice Location

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