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Individual

BORIS T BORISSOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
14547 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2709
(813) 979-7733
(813) 355-5061
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
(352) 567-0188
(813) 355-5101

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9239689
FL
363LG0600X
Gerontology Nurse Practitioner
ARNP9239689
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022209300
FL
Enumeration date
08/24/2017
Last updated
03/15/2024
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