Individual
LEISY VELIZ BORGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3422 W AILEEN ST, TAMPA, FL 33607-1814
(786) 253-3052
Mailing address
3422 W AILEEN ST, TAMPA, FL 33607-1814
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
31214
FL
390200000X
Student in an Organized Health Care Education/Training Program
2578
FL
Other
Enumeration date
04/10/2023
Last updated
01/02/2026
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