| Dr. Boris Kawliche | |
|
401 N Parsons Ave Suite 107a Brandon FL 33510-4538 | |
| (813) 681-5880 | |
| (813) 681-5958 |
| Full Name | Dr. Boris Kawliche |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 401 N Parsons Ave, Brandon, Florida |
| Authorized Official Name and Position | Boris L. Kawliche (OWNER) |
| Authorized Official Contact | 8136815880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Boris Kawliche 401 N Parsons Ave Suite 107a Brandon FL 33510-4538 Ph: (813) 681-5880 | Dr. Boris Kawliche 401 N Parsons Ave Suite 107a Brandon FL 33510-4538 Ph: (813) 681-5880 |
| NPI Number | 1386063592 |
|---|---|
| Provider Enumeration Date | 04/15/2014 |
| Last Update Date | 04/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386063592 | NPI | - | NPPES |
| 378031700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME66500 (Florida) | Primary |
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