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Christopher Jacob Bordelon, PA-C
Medical Physician Assistant in Tampa, Florida
NPI 1548756893

Christopher Jacob Bordelon is a Medical Physician Assistant based in Riverview, FL and is specialized in Medical. Christopher Jacob Bordelon practices in Tampa, FL and has the professional credentials of PA-C. The NPI Number for Christopher Jacob Bordelon is 1548756893 and holds a License No. PA9111443 (Florida).

The current practice location address for Christopher Jacob Bordelon is 2550 W Dr Martin Luther King Jr Blvd Ste B, Tampa, FL and can be reached out via phone at 813-876-6483.

Location: 2550 W Dr Martin Luther King Jr Blvd Ste B, Tampa, FL, 33569-4125
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Provider Profile Details
NPI Number
1548756893
Provider Name
Christopher Jacob Bordelon
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2550 W Dr Martin Luther King Jr Blvd Ste B, Tampa, FL, 33569-4125
Phone Number
813-876-6483
Fax Number
Provider Enumeration Date
07/10/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101257900 05 FL
institution
Provider Business Practice Location Address Details
Address
2550 W Dr Martin Luther King Jr Blvd Ste B
City
State
Zip
33607-6302
Phone Number
813-876-6483
Fax Number
person
Provider Business Mailing Address Details
Address
2550 W Dr Martin Luther King Jr Blvd Ste B
City
State
Zip
33607-6302
Phone Number
813-876-6483
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9111443 (Florida)
Definition
Definition to come...
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