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NPI Code Detail

MEDICARE: BORLAND GROOVER CLINIC, PA

MEDICARE: BORLAND GROOVER CLINIC, 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician
2207KA0200XAllergy Physician
32085R0202XDiagnostic Radiology Physician
4207RG0100XGastroenterology Physician

Other Identifiers

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

General Provider Information

NPI Number : 1881644912
Entity Type Code : Organization
Provider Name (Legal Business Name) : BORLAND GROOVER CLINIC, PA
Provider Business Mailing Address
First Line : 4800 BELFORT RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6004
Country : US
Telephone Number : 904-398-3385
Fax Number : 904-265-6409
Provider Business Practice Location Address
First Line : 4800 BELFORT RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-6004
Country : US
Telephone Number : 904-398-7205
Fax Number : 904-265-6409
Authorized Official
Title or Position : CEO
Name : DR. DINESH MADHOK
Credential : MD
Telephone Number : 904-398-7205
Provider Enumeration Date : 05/11/2006
Last Update Date : 04/06/2026

Similar Medicare Providers

1306842810 — ANA MARIA CORREGIDOR MD
Practice Location Address:
4800 BELFORT RD
JACKSONVILLE, FL
32256-6004
Practice Phone: 904-398-7205
Practice Fax: 904-396-4047
1598761439 — DR. KYLE P ETZKORN MD
Practice Location Address:
4800 BELFORT RD
JACKSONVILLE, FL
32256-6004
Practice Phone: 904-398-7205
Practice Fax: 904-396-4047
1699772483 — DR. LAWRENCE S GOLDBERG MD
Practice Location Address:
4800 BELFORT RD , SECOND FLOOR
JACKSONVILLE, FL
32256-6004
Practice Phone: 904-398-7205
Practice Fax: 904-396-4047
1053313700 — ROBERT STEPHEN KANNER MD
Practice Location Address:
4800 BELFORT RD
JACKSONVILLE, FL
32256-6004
Practice Phone: 904-398-7205
Practice Fax: 904-396-4047
1275525016 — DR. JOHN M PETERSEN D.O
Practice Location Address:
4800 BELFORT RD
JACKSONVILLE, FL
32256-6004
Practice Phone: 904-398-7205
Practice Fax: 904-396-4047
1598757007 — DR. NYDIA SANCHEZ MD
Practice Location Address:
4800 BELFORT RD , 2ND FLOOR
JACKSONVILLE, FL
32256-6004
Practice Phone: 904-398-7205
Practice Fax: 904-396-4047

Directions to “BORLAND GROOVER CLINIC, PA ” Practice Location

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