Individual
SAMIP JAYANTILAL BORAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.B.S., MD, MHA
Contact information
Practice address
755 STIRLING CENTER PL, LAKE MARY, FL 32746-5714
(407) 333-1718
Mailing address
755 STIRLING CENTER PL, LAKE MARY, FL 32746-5714
(407) 333-1718
(407) 333-1633
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
25730
WV
2084N0400X
Neurology Physician
Primary
ME155726
FL
390200000X
Student in an Organized Health Care Education/Training Program
0116022715
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2009
Last updated
11/10/2025
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