Individual
ROMAN BORUKHOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2620 S BISCAYNE DR, NORTH PORT, FL 34287-4126
(941) 416-8308
Mailing address
2620 S BISCAYNE DR, NORTH PORT, FL 34287-4126
(941) 416-8308
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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