MEDICARE: DR. ANIELA JAN BOROWSKI M.D.

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	208000000X	Pediatrics Physician	ME63043	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1326046665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANIELA JAN BOROWSKI M.D.

Provider Business Mailing Address
First Line	:	134 S WOODS DR
Second Line	:
City	:	ROCKLEDGE
State	:	FL
Zip	:	32955-3262
Country	:	US
Telephone Number	:	321-636-3066
Fax Number	:	321-636-2545

Provider Business Practice Location Address
First Line	:	699 W COCOA BEACH CSWY STE 401
Second Line	:
City	:	COCOA BEACH
State	:	FL
Zip	:	32931-3562
Country	:	US
Telephone Number	:	321-636-3066
Fax Number	:	321-636-2545

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	07/23/2013

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