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Organization Active NPI

Azael P Borromeo MD PA

Doing business as lecanto rural health

  • Rural Health Clinic/Center
  • Beverly Hills, FL
National Provider Identifier
1548439045
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
ME0035326 Issued in FL
Legal business name
AZAEL P BORROMEO MD PA
Doing business as
lecanto rural health
Practice address
2 William Tell LN
Beverly Hills, FL 34465-3785
Phone
(352) 527-9555
NPI assigned
Feb 28, 2008
Last updated
Dec 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Authorized official

Name
Mrs. Merry Doll Borromeo
Title
Owner
Phone
(352) 527-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X ME0035326 FL Primary

Addresses

Primary practice location

2 William Tell LN
Beverly Hills, FL 34465-3785

Mailing address

2 William Tell LN
Beverly Hills, FL 34465-3785
Phone (352) 527-9555

Other names 1

  • lecanto rural health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Azael P Borromeo MD P2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1548439045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WILLIAM TELL LN",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653785",
            "telephone_number": "352-527-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WILLIAM TELL LN",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653785",
            "telephone_number": "352-527-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAEL P BORROMEO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "BORROMEO",
        "authorized_official_first_name": "MERRY",
        "authorized_official_middle_name": "DOLL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-527-9555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "FL",
            "license": "ME0035326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lecanto rural health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beverly Hills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.