Michael Borza

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Practice address

3866 Julnar Ave
North Port, FL 34286-6972

Phone

(800) 940-0661

NPI assigned

May 17, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifeline Ppe

  • Physiological Laboratory
  • North Port, FL
  • NPI 1912738436
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1164271425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 S SUMTER BLVD # 317",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872335",
            "telephone_number": "009-400-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3866 JULNAR AVE",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342866972",
            "telephone_number": "800-940-0661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1181 S Sumter Blvd # 317",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342872335",
            "country_code": "US",
            "telephone_number": "009-400-6618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORZA",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bon Salut Organic Med Spa
• Carley Bond
• Samantha Maria Bono, PA-C
• Catalina Borges
• Roman Borukhov
• Christiana Bostic
• Claudine E. Bowie, ARNP, FNP-C
• Audra Boxma, LMHC,CCMHC,NCC,CTMH
• Angela Boyle
• Sarah Bracken

• Physiological Laboratory in North Port, FL
• Providers in North Port, FL by specialty
• Physiological Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.