BORIS BORISSOV (NPI# 1972020527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972020527 |
| Entity Type | Individual |
| Full Name | BORIS BORISSOV |
| Credential | ARNP |
| Practice Address |
14547 Bruce B Downs Blvd Tampa FL 33613-2709 |
| Mailing Address |
38135 Market Sq Zephyrhills FL 33542-7505 |
| Practice Telephone | 8139797733 |
| Practice Fax Number | 8133555061 |
| Mailing Telephone | 3525670188 |
| Mailing Fax Number | 8133555101 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
ARNP9239689 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022209300 | 05 |
| Street Address |
14547 BRUCE B DOWNS BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33613-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538156591 | Wendy Ann Whitford | Nurse Anesthetist, Certified Registered | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2005-10-04 |
| 1740667187 | Florida Medical Clinic, LLC | Clinic/Center | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2015-05-06 |
| 1902295009 | North Pinellas Anesthesia Asscoiates Pa | Anesthesiology | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2015-01-13 |
| 1639575079 | Brittany Loringer | Physician Assistant | 14547 Bruce B Downs Blvd, Ste. C, Tampa, FL 33613-2709 | 2014-11-12 |
| 1861732182 | Sherdene Barrett | Nurse Practitioner | 14547 Bruce B Downs Blvd, Ste D, Tampa, FL 33613-2709 | 2013-02-22 |
| 1548518780 | Christopher R Smith | Physician Assistant | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2012-08-20 |
| 1154610616 | Florida Medical Clinic, LLC | Durable Medical Equipment & Medical Supplies | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2011-04-05 |
| 1720385438 | Kimberly Myers Cudzil | Nurse Practitioner | 14547 Bruce B Downs Blvd, Suite C, Tampa, FL 33613-2709 | 2011-02-15 |
| 1659535789 | Josh Gilliam | Physician Assistant | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2008-07-17 |
| 1497939367 | Sorina Marie Davis | Nurse Anesthetist, Certified Registered | 14547 Bruce B Downs Blvd, Tampa, FL 33613-2709 | 2007-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877671 | Lisandra Isabelle Raba | Behavior Technician | 3299 Usf Banyan Circle, Tampa, FL 33613 | 2020-10-02 |
| 1184250490 | Stetho Md LLC | Family Medicine | 1707 E Bearss Ave, Tampa, FL 33613 | 2020-03-18 |
| 1174187645 | Renee Pinheiro | Student in an Organized Health Care Education/Training Program | Usf Health Morsani College of Medicine, 12901 Bruce B Downs Blvd. Mdc5, Tampa, FL 33613 | 2019-04-30 |
| 1104388842 | Heartbeat Home Health Care LLC | Home Health | 13542 N Florida Ave Ste 209-b, Tampa, FL 33613 | 2019-04-02 |
| 1437625357 | Carierx LLC | Pharmacy | 15511 N. Florida Avenue, Ste 601, Tampa, FL 33613 | 2018-10-18 |
| 1205312980 | Sabina Vlaeva | Dentist | Affordable Dentures & Implants, 14936 N Florida Avenue Ste 101, Tampa, FL 33613 | 2018-07-16 |
| 1780170266 | Joy M. Alexander | Driver | 14209 Cyber Pl Apt 102, Tampa, FL 33613 | 2018-07-08 |
| 1598289829 | Lillian Perez | Social Worker | 13542 N Florida Avenue, Suite 210, Tampa, FL 33613 | 2017-07-28 |
| 1134640386 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3100 E Fletcher Ave Ste A165, Tampa, FL 33613 | 2017-06-28 |
| 1770016099 | Marcus Bruno | Physician Assistant | 13701 Bruce B Downs Blvd., Tampa, FL 33613 | 2017-04-04 |
| Find all providers in zip 33613 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154896 | Christa Marie Mcnamara | Nurse Practitioner | 3820 Northdale Blvd Ste 107a, Tampa, FL 33624-1834 | 2020-11-03 |
| 1912510926 | Oneeka Green | Nurse Practitioner | 8947 Turnstone Haven Pl, Tampa, FL 33619-0826 | 2020-08-28 |
| 1578193520 | Quankela Tillman | Nurse Practitioner | 2604 Lindell Ave, Tampa, FL 33610-7757 | 2020-01-17 |
| 1891272076 | Jehad Saleh | Nurse Practitioner | 317 E Hanlon St, Tampa, FL 33604-4130 | 2018-07-20 |
| 1003332313 | Gail Deanne Roth | Nurse Practitioner | 4604 Brownwood Ct, Tampa, FL 33624-1118 | 2017-08-17 |
| 1538697511 | Heather Hughes | Nurse Practitioner | 912 Channelside Dr Ste 2102, Tampa, FL 33602-4227 | 2017-06-02 |
| 1215353073 | Crystal Danae Van Dette | Nurse Practitioner | 2919w Swann Ave 102, Tampa, FL 33609-4049 | 2014-03-17 |
| 1912056169 | Wendy Heather Hull | Nurse Practitioner | 4830 W Kennedy Blvd Ste 600, Tampa, FL 33609 | 2007-01-09 |
| 1467482380 | Ags Healthcare Specialists Inc | Nurse Practitioner | 14902 Winding Creek Ct, Ste 105-c, Tampa, FL 33613-1640 | 2006-07-04 |
| 1023001633 | Linda K Beagle | Nurse Practitioner | 300 S Hyde Park Ave, Ste 210, Tampa, FL 33606-4125 | 2005-08-30 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.