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MIKEL ELIAS BORUP DO

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1750745006

Individual Registrant:
 MIKEL ELIAS BORUP DO
Gender: M
Not Sole Proprietor

Location and contact information for practice:
307 BOATNER RD STE 114  EGLIN AFB, FL 32542-1302 US
Tel: 850-883-8600  Fax: --

Contact information for business:
307 BOATNER RD STE 114  EGLIN AFB, FL 32542-1302 US
Tel: 850-883-8600  Fax: --

Registration Information:
NPI: 1750745006
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
VA0102205263

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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