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General NPI Number Information
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NPI Number | 1104262054
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Entity Type | Organization
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Legal Business Name | BRUCE L BOROS MD PA
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 1980 N ROOSEVELT BLVD
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City | KEY WEST
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State | FL
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Zip | 33040-3632
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Country | US
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Telephone | 305-294-0011
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Fax | 305-434-9955
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Provider Business Mailing Address
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Address Line | 1980 N ROOSEVELT BLVD
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City | KEY WEST
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State | FL
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Zip | 33040-3632
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Country | US
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Telephone | 305-294-0011
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRUCE L BOROS
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Credential | MD
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Telephone | 395-294-0011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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