SearchFlorida207ZP0102X

Vitaly Borodin, M.D

NPI 1659702553 · on the registry since 2013 · sole proprietor

Practice

Address
3301 Bayshore Blvd Unit 1709
Tampa, FL 33629
Phone
(484) 350-7158
Clinicians at this address
2

Additional practice sites

  • 5481 W Waters Ave, Tampa, FL
  • 1250 E. Marshall St, Richmond, VA

Registry record

Primary taxonomy
207ZP0102X
207ZP0102X
Also registered as
207ZC0500X
207ZP0102X
Licence states on file
FL, PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida