Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath | MA47156 | FL |
NPI | 1477747178 |
---|---|
Provider Name | Victoria A Borkowski |
First Address | Plant City, FL 33565-2533 |
Second Address | Lakeland, FL 33809-3101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2007 |
Last Update Date | 05/09/2007 |