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MIKEL ELIAS BORUP DO
>> Emergency Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1750745006
Individual Registrant: MIKEL ELIAS BORUP DO
Gender: M
Not Sole Proprietor
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: --
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: --
Tel: 850-883-8600 Fax: --
Registration Information:
NPI: 1750745006
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207P00000X | Allopathic & Osteopathic Physicians Emergency Medicine | VA | 0102205263 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
