Borland Groover Clinic, Pa in Jacksonville - Allergy
Borland Groover Clinic, Pa - NPI 1881644912
Borland Groover Clinic, Pa is a Allergy in Jacksonville, Florida. Borland Groover Clinic, Pa practices all healthcare services and medical treatments related to Allergy. The NPI Number for Borland Groover Clinic, Pa is 1881644912. The last update date is 2015-06-24.
Borland Groover Clinic, Pa's current location address is 4800 Belfort Rd, Jacksonville, Florida. You can contact this provider via phone number 9043987205 and fax number 9042656409. The mailing address for Borland Groover Clinic, Pa is 4800 Belfort Rd, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Borland Groover Clinic, Pa |
|---|---|
| Address | 4800 Belfort Rd, Jacksonville, Florida |
| Phone Number | 9043987205 |
| Fax Number | 9042656409 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Etzkorn Kyle |
| Credentials | MD |
| Telephone Number | 9043987205 |
NPI Number Detail
| NPI Number | 1881644912 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2015-06-24 |
Provider Mailing Address Detail
| Address | 4800 Belfort Rd |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 3225660040 |
| Phone Number | 9043987205 |
| Fax Number | 9042656409 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
|
Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60148900 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Borland Groover Clinic, Pa?
The Borland Groover Clinic, Pa has been issued the NPI (National Provider Identifier) 1881644912 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Borland Groover Clinic, Pa's physical address?
The Borland Groover Clinic, Pa is physically located at 4800 Belfort Rd, in the city of Jacksonville, FL, with the postal code 3225660040.
What is Borland Groover Clinic, Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Borland Groover Clinic, Pa is Allergy, and the corresponding taxonomy classification code for this specialized field is 207Ka0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1881644912 to Borland Groover Clinic, Pa?
The Centers for Medicare & Medicaid Services assigned the 1881644912 to Borland Groover Clinic, Pa on 2006-05-11.
As of what date were the details related to Borland Groover Clinic, Pa most recently updated or revised?
The information pertaining to Borland Groover Clinic, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2015-06-24.
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