Individual
DR. PRODROMOS GORDON BORBOROGLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME99271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280092600
—
FL
01
—
P00631812
RR MEDICARE
FL
Enumeration date
03/24/2006
Last updated
05/19/2015
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