Individual
DR. HOLLY SUZANNE BORDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
405 PASADENA AVE S, ST PETERSBURG, FL 33707-2101
(727) 345-2212
(727) 381-3444
Mailing address
405 PASADENA AVE S, ST PETERSBURG, FL 33707-2101
(786) 390-4872
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME101506
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000311500
—
FL
Enumeration date
06/18/2007
Last updated
08/29/2014
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