Individual provider · Type 1 NPI
Christopher Jacob Bordelon, PA-C
Medical Physician Assistant · Tampa, FL
NPI number
1548756893
Active
Practice location
2550 W Dr Martin Luther King Jr Blvd Ste B
Tampa, FL 33607-6302
Mailing address
10414 Nightengale Dr
Riverview, FL 33569-4125
Other practice locations
- 946 E Reed St, Hayti, MO 63851-1243 · (573) 359-1372
- 304 Teaco Rd, Kennett, MO 63857-3266 · (573) 888-8828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA9111443 (FL) |
| Medical Physician Assistant Primary | 363AM0700X | 2018024459 (MO) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1548756893
Christopher Jacob Bordelon, PA-C's National Provider Identifier is 1548756893, issued on Jul 10, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tampa, FL. The record was last updated on Sep 15, 2021.