Individual
BORYS A MASCARENHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1879 NIGHTINGALE LN, STE B4, TAVARES, FL 32778-4363
(352) 742-2286
(352) 742-2289
Mailing address
PO BOX 558, MOUNT DORA, FL 32756-0558
(352) 742-2286
(352) 742-2289
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME85389
FL
2086X0206X
Surgical Oncology Physician
ME85389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26485700
—
FL
Enumeration date
07/05/2005
Last updated
08/05/2025
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