Born Again Doctor LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

ME83798 Issued in FL

Legal business name

BORN AGAIN DOCTOR LLC

Practice address

10671 Emerald Chase Dr
Orlando, FL 32836-5855

Phone

(407) 645-1847

Fax

(407) 978-6507

NPI assigned

Dec 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sualeh Ashraf, MD

Title

Owner

Phone

(407) 645-1847

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1821463688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10671 EMERALD CHASE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365855",
            "telephone_number": "407-645-1847",
            "fax_number": "407-978-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10671 EMERALD CHASE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328365855",
            "telephone_number": "407-645-1847",
            "fax_number": "407-978-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORN AGAIN DOCTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "ASHRAF",
        "authorized_official_first_name": "SUALEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-645-1847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME83798",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME83798",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME83798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA MEDICAL LICENSE",
            "identifier": "ME83798",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Neil Boris, MD
• Gabriel Borjas Reyes
• Kelli Borland, NP
• Born Two Care Companions
• Sarah Born
• Jeffrey A Bornstein, MD
• Mark David Bornstein, DPM
• Richard Scott Bornstein, DPM

• Endocrinology, Diabetes & Metabolism Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.