Healthcare Provider Details

I. General information

NPI: 1710941547
Provider Name (Legal Business Name): FERNANDO BORGES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5747 38TH AVE N
ST PETERSBURG FL
33710-1925
US

IV. Provider business mailing address

5747 38TH AVE N
ST PETERSBURG FL
33710-1925
US

V. Phone/Fax

Practice location:
  • Phone: 727-381-8667
  • Fax: 727-345-1951
Mailing address:
  • Phone: 727-381-8667
  • Fax: 727-345-1951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberME20249
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: