Individual provider · Type 1 NPI

Etamar Bordoley

Student in an Organized Health Care Education/Training Program · Hollywood, FL

NPI number 1245158468 Active

Practice location

309 N 21st Ave
Hollywood, FL 33020-4537

Call (305) 899-4722 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245158468

Etamar Bordoley's National Provider Identifier is 1245158468, issued on Jul 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hollywood, FL. The record was last updated on Jul 7, 2026.