Individual
DR. VITALY BORODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 BAYSHORE BLVD UNIT 1709, TAMPA, FL 33629-8845
(484) 350-7158
Mailing address
3301 BAYSHORE BLVD UNIT 1709, TAMPA, FL 33629-8845
(484) 350-7158
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
ME135873
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME135873
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MT201400
PA
Other
Enumeration date
12/03/2013
Last updated
03/29/2023
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