MEDICARE: DR. DAVID SCOTT BORISLOW MD

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
1	207RG0100X	Gastroenterology Physician	ME57541	FL

General Provider Information

NPI Number	:	1003809419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID SCOTT BORISLOW MD

Provider Business Mailing Address
First Line	:	11719 1ST ST E
Second Line	:
City	:	TREASURE ISLAND
State	:	FL
Zip	:	33706-5101
Country	:	US
Telephone Number	:	727-492-2930
Fax Number	:

Provider Business Practice Location Address
First Line	:	11719 1ST ST E
Second Line	:
City	:	TREASURE ISLAND
State	:	FL
Zip	:	33706
Country	:	US
Telephone Number	:	727-492-2930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	12/17/2024

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