Organization Active NPI

Physicians of SW Florida LLC

  • Otolaryngology Physician
  • Arcadia, FL
National Provider Identifier
1710141494
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME14925 Issued in FL
Legal business name
PHYSICIANS OF SW FLORIDA LLC
Practice address
899 E Oak St
Arcadia, FL 34266-4617
Phone
(863) 494-3009
Fax
(863) 494-2108
NPI assigned
Jul 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Dr. Raymond W. Borota, M.D.
Title
Medical Director/Managing Partner
Phone
(863) 494-3009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X ME14925 FL Primary

Addresses

Primary practice location

899 E Oak St
Arcadia, FL 34266-4617

Mailing address

899 E Oak St
Arcadia, FL 34266-4617
Phone (863) 494-3009

National Provider Directory

National Provider Directory

Locations

899 E Oak St
Arcadia, FL 34266
Phone (863) 494-3009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1710141494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 E OAK ST",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342664617",
            "telephone_number": "863-494-3009",
            "fax_number": "863-494-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 E OAK ST",
            "city": "ARCADIA",
            "state": "FL",
            "postal_code": "342664617",
            "telephone_number": "863-494-3009",
            "fax_number": "863-494-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS OF SW FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "BOROTA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/MANAGING PARTNER",
        "authorized_official_telephone_number": "863-494-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME14925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.