Individual ProviderOmprakash BogaPharmacistPharmacy Service ProvidersPractice Address483 N Semoran Blvd Ste 109, Winter Park, FL 32792-3800(407) 790-4509PECOS EnrollmentBased on the most recent information from CMS, provider Omprakash Boga does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1437755626Provider TypeIndividualFull NameBoga, OmprakashGenderMaleSole ProprietorNoEnumeration Date12/11/2020Last Updated12/11/2020Contact InformationPractice LocationPractice Address483 N Semoran Blvd Ste 109, Winter Park, FL 32792-3800Phone(407) 790-4509FaxUnlisted FaxMailing LocationMailing Address483 N Semoran Blvd Ste 109, Winter Park, FL 32792-3800Phone(407) 790-4509Fax(407) 790-4423Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicensePS41040Florida