Yesenia Boresoff, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

20969 Issued in CA

Practice address

7529 Medical Dr
Hudson, FL 34667-6502

Phone

(727) 862-6524

Fax

(727) 862-6439

NPI assigned

Nov 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1376870931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7529 MEDICAL DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676502",
            "telephone_number": "727-862-6524",
            "fax_number": "727-862-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7529 MEDICAL DR",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676502",
            "telephone_number": "727-862-6524",
            "fax_number": "727-862-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORESOFF",
        "first_name": "YESENIA",
        "name_prefix": "Miss",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.003647",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "20969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE NUMBER",
            "identifier": "PA 9107742",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet M Blossfield, MS, CCC-SLP
• Alfred Bonati, M.D.
• Catherine Bond, ARNP
• Anthony Bongiorno
• Punit Borad, DO
• Harry Borno, MD
• Joseph Levi Bowles III, M.S. CCC-SLP
• Julie Boyle, BCBA, ITDS
• Brain and Spine Neuroscience Institute, LLC
• Abigail Grace Braudis, LCSW

• Medical Physician Assistant in Hudson, FL
• Providers in Hudson, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; 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.