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Contact Information

BORLAND GROOVER CLINIC, PA
4800 BELFORT RD
JACKSONVILLE, FL32256-6004
 Phone: 904-398-7205
 Fax: 904-265-6409
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Allergy

207KA0200X 03 Physician/Allergy/ Immunology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for BORLAND GROOVER CLINIC, PA

NPI # 1881644912
LBN Legal business name BORLAND GROOVER CLINIC, PA
Authorized official DINESH MADHOK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2006
Last updated 04/06/2026 - About 2 months ago
Identifiers
FL Medicaid 119757100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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