Individual
DR. MARK ANTONIO BORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4712 N ARMENIA AVE STE 102, TAMPA, FL 33603-2611
(813) 879-5716
(813) 877-4890
Mailing address
4712 N ARMENIA AVE STE 102, TAMPA, FL 33603-2611
(813) 879-5716
(813) 877-4890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME74322
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258148500
—
FL
Enumeration date
05/24/2005
Last updated
03/04/2022
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