Individual
DR. BORIS KAWLICHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
407 N PARSONS AVE STE 104, BRANDON, FL 33510-4537
(813) 681-5880
(813) 681-5958
Mailing address
407 N PARSONS AVE STE 104, BRANDON, FL 33510-4537
(813) 681-5880
(813) 681-5958
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME66500
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378031700
—
FL
Enumeration date
10/03/2006
Last updated
07/21/2022
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