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Contact Information

VITALY BORODIN, MD
3301 BAYSHORE BLVD UNIT 1709
TAMPA, FL33629-8845
 Phone: 484-350-7158
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for VITALY BORODIN · (Male)

NPI # 1659702553
Status Active
Credentials MD
Entity Individual
Enumeration date 12/03/2013
Last updated 03/29/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME135873
  • PA License # MT201400
Hospital affiliation(s)
  • SARASOTA MEMORIAL HOSPITAL - (Acute Care)
    1700 S TAMIAMI TRL
    SARASOTA, FL 34239
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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