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NPI Code Detail

MEDICARE: BORON MEDICAL, INC.

MEDICARE: BORON MEDICAL, INC.
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1982872305
Entity Type Code : Organization
Provider Name (Legal Business Name) : BORON MEDICAL, INC.
Provider Business Mailing Address
First Line : PO BOX 07148
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-0148
Country : US
Telephone Number : 239-561-2182
Fax Number : 239-561-7333
Provider Business Practice Location Address
First Line : 13611 MCGREGOR BLVD
Second Line : UNIT 4
City : FORT MYERS
State : FL
Zip : 33919-6042
Country : US
Telephone Number : 239-561-2182
Fax Number : 239-561-7333
Authorized Official
Title or Position : PRESIDENT
Name : MR. STEVEN H BORON
Credential :
Telephone Number : 239-561-2182
Provider Enumeration Date : 02/19/2008
Last Update Date : 02/19/2008

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Directions to “BORON MEDICAL, INC. ” Practice Location

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