Active NPI
Physicians of SW Florida LLC
- Otolaryngology Physician
- Arcadia, FL
National Provider Identifier
1710141494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME14925
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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 DirectoryLocations
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.
-
- Physical Therapist
- Port Charlotte, FL
- NPI 1831332261
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.