1972072726 NPI number — DR. GARY ROY BORAKS D.C.

Table of content: DR. GARY ROY BORAKS D.C. (NPI 1972072726)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972072726 NPI number — DR. GARY ROY BORAKS D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BORAKS
Provider First Name:
GARY
Provider Middle Name:
ROY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972072726
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/21/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6388 SILVER STAR RD, SUITE 2A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32818
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-253-1114
Provider Business Mailing Address Fax Number:
407-253-1180

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6388 SILVER STAR RD
Provider Second Line Business Practice Location Address:
STE #2A
Provider Business Practice Location Address City Name:
ORLANDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32818
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-253-1114
Provider Business Practice Location Address Fax Number:
407-253-1180
Provider Enumeration Date:
11/21/2018

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  CH4691 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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