Individual
MARISA MARIE BORGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
6060 97TH AVE N, PINELLAS PARK, FL 33782-3103
(727) 265-1190
Mailing address
6060 97TH AVE N, PINELLAS PARK, FL 33782-3103
(727) 265-1190
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9406246
FL
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN9406246
FL
Other
Enumeration date
01/31/2023
Last updated
10/10/2023
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