Individual
JASON BORREGO
Active
Individual
JASON BORREGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9389621
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
APRN11001636
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11001636
FL
367500000X
Certified Registered Nurse Anesthetist
D185180
IA
Other
Enumeration date
01/31/2019
Last updated
02/02/2026
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