VITALY BORODIN

TAMPA, FL
NPI1659702553
Former NameVITALII SERGEEVICH BORODIN
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: FL  ME135873)
Additional Taxonomies207ZC0500X Pathology, Cytopathology
(Licence: FL  ME135873)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: PA  MT201400)
Enumeration Date2013-12-03
Last Update Date2023-03-29
Business Address
Dr. VITALY BORODIN M.D.
3301 BAYSHORE BLVD UNIT 1709
TAMPA, FL 33629-8845
Phone number: 484-350-7158
Mailing Address
Dr. VITALY BORODIN M.D.
3301 BAYSHORE BLVD UNIT 1709
TAMPA, FL 33629-8845
Phone number: 484-350-7158