Borissov, Boris T

Borissov, Boris T is an individual health care provider with primary practice located at 14547 Bruce B Downs Blvd , Tampa FL 33613-2709. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Borissov, Boris T can be contacted via phone (813) 979-7733.

Contact Information

Primary practice address
14547 Bruce B Downs Blvd Tampa FL 33613-2709
Phone: (813) 979-7733
Fax: (813) 355-5061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X ARNP9239689 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9239689 Florida

Profile Details

NPI number 1972020527
LBN Legal business name Borissov, Boris T
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2017
Last updated Mar 15th, 2024 - about last year

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 1972020527 NPPES
Florida MEDICAID 022209300

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