Individual
LOUIS JOHN BORUCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1411 N FLAGLER DRIVE, STE 8000, WEST PALM BEACH, FL 33401
(561) 833-7600
(561) 833-7644
Mailing address
1411 N FLAGLER DRIVE, STE 8000, WEST PALM BEACH, FL 33401
(561) 833-7600
(561) 833-7644
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME29203
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036834200
—
FL
Enumeration date
01/30/2006
Last updated
04/09/2012
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