Individual
MR. RICHARD BORCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., EMT-B
Contact information
Practice address
1402 OAK ST, MELBOURNE, FL 32901-3113
(321) 722-3288
(321) 722-3468
Mailing address
1402 OAK ST, MELBOURNE, FL 32901-3113
(321) 722-3288
(321) 722-3468
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
510263
FL
246W00000X
Cardiology Technician
—
—
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
—
Other
Enumeration date
06/23/2017
Last updated
08/15/2023
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