Individual
ERIK TYLER BORGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4427 W LEILA AVE, TAMPA, FL 33616-1007
(727) 459-8188
Mailing address
4427 W LEILA AVE, TAMPA, FL 33616-1007
(727) 459-8188
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9438147
FL
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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