Healthcare Provider Details

I. General information

NPI: 1154169407
Provider Name (Legal Business Name): MARJORIE NANCY BORGELA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2024
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 S STATE ROAD 7 STE 200
WEST PALM BEACH FL
33414-6204
US

IV. Provider business mailing address

PO BOX 20800
BELFAST ME
04915-4105
US

V. Phone/Fax

Practice location:
  • Phone: 561-967-6500
  • Fax:
Mailing address:
  • Phone: 888-402-7256
  • Fax: 888-902-1099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11034120
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: