Provider Demographics
NPI:1770307209
Name:BORZA, JOSEPH JR
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:BORZA
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14064 NAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:PT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33981-4043
Mailing Address - Country:US
Mailing Address - Phone:941-408-3252
Mailing Address - Fax:
Practice Address - Street 1:14064 NAYLOR AVE
Practice Address - Street 2:
Practice Address - City:PT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33981-4043
Practice Address - Country:US
Practice Address - Phone:941-408-3252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL42342347C00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle