Individual
IVAN MARQUES BORRELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 TAMPA GENERAL CIR FL 3, TAMPA, FL 33606-3571
(813) 844-7585
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-8927
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
D47390
MD
207RX0202X
Medical Oncology Physician
Primary
ME158526
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357301000
—
MD
Enumeration date
04/25/2006
Last updated
12/13/2022
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