Borboroglu, Prodromos Gordon

Borboroglu, Prodromos Gordon is an individual health care provider with primary practice located at 575 S Wickham Rd Suite A, West Melbourne FL 32904-1170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Borboroglu, Prodromos Gordon can be contacted via phone (321) 308-5060.

Contact Information

Primary practice address
575 S Wickham Rd Suite A West Melbourne FL 32904-1170
Phone: (321) 308-5060
Fax: (321) 308-5069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME99271 Florida

Profile Details

NPI number 1770543894
LBN Legal business name Borboroglu, Prodromos Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated May 19th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770543894 NPPES
Florida Other P00631812 RR MEDICARE
Florida MEDICAID 280092600 RR MEDICARE

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