Individual
BORGELINE MARIE JINA VILFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
608 MARSH ISLE CIR APT 305, PORT SAINT LUCIE, FL 34952-1457
(772) 207-8660
Mailing address
608 MARSH ISLE CIR APT 305, PORT SAINT LUCIE, FL 34952-1457
(772) 207-8660
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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