MEDICARE: DR. DARIA BORISOVA DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN31699	FL

General Provider Information

NPI Number	:	1881526234
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARIA BORISOVA DMD

Provider Business Mailing Address
First Line	:	2238 PASSION FLOWER WAY APT 204
Second Line	:
City	:	ODESSA
State	:	FL
Zip	:	33556-4547
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5245 US HIGHWAY 19
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-3967
Country	:	US
Telephone Number	:	172-784-7311
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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