MEDICARE: LAURA BORINSKY CNS, LDN

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	133N00000X	Nutritionist	14286	FL

General Provider Information

NPI Number	:	1336938190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA BORINSKY CNS, LDN

Provider Business Mailing Address
First Line	:	168 MORNINGSIDE DR
Second Line	:
City	:	COCONUT GROVE
State	:	FL
Zip	:	33133-6906
Country	:	US
Telephone Number	:	443-310-2979
Fax Number	:

Provider Business Practice Location Address
First Line	:	168 MORNINGSIDE DR
Second Line	:
City	:	COCONUT GROVE
State	:	FL
Zip	:	33133-6906
Country	:	US
Telephone Number	:	443-310-2979
Fax Number	:

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

Provider Enumeration Date	:	05/06/2025
Last Update Date	:	01/05/2026

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