Borislow, Mary Lee

Borislow, Mary Lee is an individual health care provider with primary practice located at 1260 S Martin Luther King Jr Ave Ste E, Clearwater FL 33756-4172. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Borislow, Mary Lee can be contacted via phone (727) 443-2920.

Contact Information

Primary practice address
1260 S Martin Luther King Jr Ave Ste E Clearwater FL 33756-4172
Phone: (727) 443-2920
Fax: (727) 443-2726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3044812 Florida

Profile Details

NPI number 1134112550
LBN Legal business name Borislow, Mary Lee
Credentials ARNP C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jul 8th, 2007 - about 19 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 1134112550 NPPES
Other K2358 GROUP MEDICAID

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