Artem Borisov

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN9620542 Issued in FL

Practice address

10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111

Phone

(772) 345-8100

Fax

(772) 345-8100

NPI assigned

May 28, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1588595441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25031 SW ALBERTI WAY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SW INNOVATION WAY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872111",
            "telephone_number": "772-345-8100",
            "fax_number": "772-345-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORISOV",
        "first_name": "ARTEM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9620542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Bolitho, MS, CCC-SLP
• Kyle Boltson
• Yonahil M Bonalde
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• Eduardo F Borges, MD
• Sean Borman
• Morgan Frances Bos, MMS, PA-C
• Maureen Bosco, CRNA
• Latifa Boukarrou, MD
• Boulevard Dental Associates

• General Practice Registered Nurse in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• General Practice Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.