AZAEL P BORROMEO MD PA NPI 1548439045

NPI Information

NPI: 1548439045
Provider Name: AZAEL P BORROMEO MD PA

Doing Business As: LECANTO RURAL HEALTH

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
2 WILLIAM TELL LN
BEVERLY HILLS, FL
ZIP 34465
Phone: (352) 527-9555
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AZAEL P BORROMEO MD PA is a rural health clinic center in Beverly Hills, FL. AZAEL P BORROMEO MD PA NPI is 1548439045. The provider is registered as an organization entity type.
The provider Is Doing Business As Lecanto Rural Health.

The provider's business location address is:

2 WILLIAM TELL LN
BEVERLY HILLS, FL
ZIP 34465-785
Phone: (352) 527-9555

The provider's authorized official is Merry Doll Borromeo .
The authorized official title is Owner and has the following contact phone number (352) 527-9555.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 12/8/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	ME0035326	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	108911	MEDICARE OSCAR/CERTIFICATION	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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