Individual
NICHOLE PATRICIA BORDEGARAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9655 S DIXIE HWY STE 111, MIAMI, FL 33156-2813
(302) 740-0823
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD2016-0230
NM
207L00000X
Anesthesiology Physician
ME 115102
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2009
Last updated
01/15/2025
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