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NPI Code Detail

MEDICARE: VICTORIA BORAGGINA PC

MEDICARE:   VICTORIA  BORAGGINA  PC
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
1101YM0800XMental Health CounselorC1200305OH

General Provider Information

NPI Number : 1619318524
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA BORAGGINA PC
Provider Business Mailing Address
First Line : 1425 STARR AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43605-2456
Country : US
Telephone Number : 419-693-0631
Fax Number : 419-936-7606
Provider Business Practice Location Address
First Line : 3178 N REPUBLIC BLVD STE 12B
Second Line :
City : TOLEDO
State : OH
Zip : 43615-1509
Country : US
Telephone Number : 419-277-9484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2013
Last Update Date : 08/17/2025

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Directions to “ VICTORIA BORAGGINA PC” Practice Location

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