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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699778589 | NPPES |
| Florida | MEDICAID | 258148500 |
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