Healthcare Provider Details

I. General information

NPI: 1104262054
Provider Name (Legal Business Name): BRUCE L BOROS MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2013
Last Update Date: 11/23/2021
Certification Date: 11/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1980 N ROOSEVELT BLVD
KEY WEST FL
33040-3632
US

IV. Provider business mailing address

1980 N ROOSEVELT BLVD
KEY WEST FL
33040-3632
US

V. Phone/Fax

Practice location:
  • Phone: 305-294-0011
  • Fax: 305-434-9955
Mailing address:
  • Phone: 305-294-0011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BRUCE L BOROS
Title or Position: OWNER
Credential: MD
Phone: 395-294-0011