Bornia, Manuel Rafael

Bornia, Manuel Rafael is an sole proprietor health care provider with primary practice located at 180 Jfk Dr Ste 260 , Atlantis FL 33462-6642. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Bornia, Manuel Rafael can be contacted via phone (561) 439-4480.

Contact Information

Primary practice address
180 Jfk Dr Ste 260 Atlantis FL 33462-6642
Phone: (561) 439-4480
Fax: (561) 641-6626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME47911 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME47911 Florida

Profile Details

NPI number 1073571063
LBN Legal business name Bornia, Manuel Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2006
Last updated Oct 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073571063 NPPES
Florida MEDICAID 024429200

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