Provider Demographics
NPI:1245243468
Name:BORGES, ABDON (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDON
Middle Name:
Last Name:BORGES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 E HILLSBORO BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-4348
Mailing Address - Country:US
Mailing Address - Phone:954-637-3000
Mailing Address - Fax:954-570-0754
Practice Address - Street 1:1500 E HILLSBORO BLVD STE 201
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-4348
Practice Address - Country:US
Practice Address - Phone:954-637-3000
Practice Address - Fax:954-570-0754
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81393207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH55040Medicare UPIN
FL09110YMedicare ID - Type UnspecifiedMEDICARE NUMBER