Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | ME57541 | FL |
NPI | 1003809419 |
---|---|
Provider Name | Dr. David Scott Borislow |
First Address | Clearwater, FL 33762-5323 |
Second Address | Clearwater, FL 33756-3839 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2005 |
Last Update Date | 12/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C82110 | (02) |