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NPI Code Detail

MEDICARE: DR. HASSAN BORGHEI DO

MEDICARE:  DR. HASSAN  BORGHEI  DO
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
1207RG0100XGastroenterology PhysicianOS10164FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1SO206OTHERFLMEDICARE HF

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093913550
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HASSAN BORGHEI DO
Provider Business Mailing Address
First Line : 3300 S FISKE BLVD
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-4306
Country : US
Telephone Number : 321-868-5833
Fax Number : 321-951-7408
Provider Business Practice Location Address
First Line : 699 W COCOA BEACH CSWY STE 601
Second Line :
City : COCOA BEACH
State : FL
Zip : 32931-3562
Country : US
Telephone Number : 321-868-5833
Fax Number : 321-868-5854
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2007
Last Update Date : 03/28/2024

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Directions to “ DR. HASSAN BORGHEI DO” Practice Location

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