MEDICARE: EDUARDO BORGES, MD, PA

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	174400000X	Specialist	ME0056012	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	:	1649594714
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDUARDO BORGES, MD, PA

Provider Business Mailing Address
First Line	:	1700 SE HILLMOOR DR
Second Line	:	SUITE 501
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-7539
Country	:	US
Telephone Number	:	772-335-1313
Fax Number	:	772-335-1315

Provider Business Practice Location Address
First Line	:	1700 SE HILLMOOR DR
Second Line	:	SUITE 501
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-7539
Country	:	US
Telephone Number	:	772-335-1313
Fax Number	:	772-335-1315

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EDUARDO F BORGES
Credential	:	M.D.
Telephone Number	:	772-335-1313

Provider Enumeration Date	:	03/18/2010
Last Update Date	:	03/19/2010

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