Boresoff, Yesenia

Boresoff, Yesenia is an individual health care provider with primary practice located at 7529 Medical Dr , Hudson FL 34667-6502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Boresoff, Yesenia can be contacted via phone (727) 862-6524.

Contact Information

Primary practice address
7529 Medical Dr Hudson FL 34667-6502
Phone: (727) 862-6524
Fax: (727) 862-6439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085.003647 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 20969 California

Profile Details

NPI number 1376870931
LBN Legal business name Boresoff, Yesenia
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2009
Last updated Apr 7th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376870931 NPPES
Florida Other PA 9107742 FLORIDA LICENSE NUMBER

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