# AZAEL P BORROMEO MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** lecanto rural health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548439045
- **Authorized official:** MRS. MERRY DOLL BORROMEO (OWNER)
- **Authorized official phone:** (352) 527-9555

## Contact information

- **Practice address:** 2 WILLIAM TELL LN, BEVERLY HILLS, FL 34465-3785
- **Practice address phone:** (352) 527-9555
- **Mailing address:** 2 WILLIAM TELL LN, BEVERLY HILLS, FL 34465-3785
- **Mailing address phone:** (352) 527-9555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | ME0035326 | FL | Yes |

## Other

- **Enumeration date:** 02/28/2008
- **Last updated:** 12/08/2008