Provider Demographics
NPI:1164132841
Name:BORLAND, DANIELLE ABBIE (APRN)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:ABBIE
Last Name:BORLAND
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11326 LAUREL BROOK CT
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-2023
Mailing Address - Country:US
Mailing Address - Phone:850-212-1501
Mailing Address - Fax:
Practice Address - Street 1:10676 BLOOMINGDALE AVE STE 1
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4292
Practice Address - Country:US
Practice Address - Phone:813-284-6574
Practice Address - Fax:813-284-6803
Is Sole Proprietor?:No
Enumeration Date:2022-12-02
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11020988207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology