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MICHAEL ARTHUR BORELLI MD
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1023100393
Individual Registrant: MICHAEL ARTHUR BORELLI MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2801 KENNEDY ST PUTNAM COUNTY HEALTH DEPARTMENT PALATKA, FL 32177-4109 US
Tel: 386-326-3200 Fax: 386-326-3350
Tel: 386-326-3200 Fax: 386-326-3350
Contact information for business:
PO BOX 332 CEDAR KEY, FL 32625 US
Tel: 352-543-5722 Fax: --
Tel: 352-543-5722 Fax: --
Registration Information:
NPI: 1023100393
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | FL | ME0038682 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 069472000 | FL | 05 |
