Individual
MICHAEL A BORUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5151 N 9TH AVE, PENSACOLA, FL 32504-5705
(850) 416-7000
(850) 475-4781
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 475-4790
(850) 475-4771
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35088643
OH
207P00000X
Emergency Medicine Physician
Primary
ME100116
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000510333
BC/BS FOR BERGER
OH
05
—
2718358
—
OH
Enumeration date
10/04/2006
Last updated
06/11/2008
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