Borden, Mark Antonio

Borden, Mark Antonio is an individual health care provider with primary practice located at 4712 N Armenia Ave Ste 102 , Tampa FL 33603-2611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Borden, Mark Antonio can be contacted via phone (813) 879-5716.

Contact Information

Primary practice address
4712 N Armenia Ave Ste 102 Tampa FL 33603-2611
Phone: (813) 879-5716
Fax: (813) 877-4890
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME74322 Florida

Profile Details

NPI number 1699778589
LBN Legal business name Borden, Mark Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 4th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699778589 NPPES
Florida MEDICAID 258148500

Popular Providers