MEDICARE: EDUARDO F BORGES MD

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952395360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDUARDO F BORGES MD

Provider Business Mailing Address
First Line	:	PO BOX 8390
Second Line	:	SUITE A
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34985-8390
Country	:	US
Telephone Number	:	772-398-5339
Fax Number	:	772-337-2666

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	10/26/2016

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Directions to “ EDUARDO F BORGES MD” Practice Location

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