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Individual

ANDREW H BOROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3334 CAPITAL MEDICAL BLVD, STE 400, TALLAHASSEE, FL 32308-8405
(850) 877-8174
(850) 877-5636
Mailing address
3334 CAPITAL MEDICAL BLVD, STE 400, TALLAHASSEE, FL 32308-8405
(850) 877-8174
(850) 877-5636

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
052334
GA
207X00000X
Orthopaedic Surgery Physician
Primary
ME85372
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000962728A
GA
05
000962728B
GA
05
264696000
FL
Enumeration date
02/21/2006
Last updated
01/02/2013
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