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Organization

BORLAND GROOVER CLINIC, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DINESH MADHOK MD (CEO)
(904) 398-7205
Entity
Organization

Contact information

Practice address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-7205
(904) 265-6409
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 398-3385
(904) 265-6409

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
207RG0100X
Gastroenterology Physician
Primary
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2080P0206X
Pediatric Gastroenterology Physician
2085R0202X
Diagnostic Radiology Physician
208C00000X
Colon & Rectal Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
060148900
FL
05
119757100
FL
Enumeration date
05/11/2006
Last updated
04/06/2026
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