Individual
MARIA BORGONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11005057
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11005057
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F10191182
AANP
FL
Enumeration date
11/13/2019
Last updated
12/12/2022
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