MEDICARE: DR. ISABELLA MARIA BORRAS D.C

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	111N00000X	Chiropractor	CH13805	FL

General Provider Information

NPI Number	:	1033863741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ISABELLA MARIA BORRAS D.C

Provider Business Mailing Address
First Line	:	19458 BLACK OLIVE LN
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33498
Country	:	US
Telephone Number	:	787-226-5825
Fax Number	:

Provider Business Practice Location Address
First Line	:	3208 LANTANA RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33462
Country	:	US
Telephone Number	:	561-533-3884
Fax Number	:

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

Provider Enumeration Date	:	02/10/2022
Last Update Date	:	02/10/2022

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