Borland Groover Clinic, Pa

LBN: Borland Groover Clinic, Pa
Borland Groover Clinic, Pa is an health care organization with primary practice located at 4800 Belfort Rd , Jacksonville FL 32256-6004. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty. Borland Groover Clinic, Pa can be contacted via phone (904) 398-7205, or through Etzkorn, Kyle via phone (904) 398-7205.

Contact Information

Primary practice address
4800 Belfort Rd Jacksonville FL 32256-6004
Phone: (904) 398-7205
Fax: (904) 265-6409
Website:
Map and Directions
Authorized official contact:
Name: Etzkorn, Kyle Doctor of Medicine (MD)
Phone: (904) 398-7205

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X

Profile Details

NPI number 1881644912
LBN Legal business name Borland Groover Clinic, Pa
DBA Doing business as
Authorized official Etzkorn, Kyle Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Jun 24th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881644912 NPPES
Florida MEDICAID 060148900

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