Provider Demographics
NPI:1033903372
Name:BOROWICZ, JANNA R
Entity type:Individual
Prefix:
First Name:JANNA
Middle Name:R
Last Name:BOROWICZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14344 EDINBURGH MOOR DR
Mailing Address - Street 2:
Mailing Address - City:WIMAUMA
Mailing Address - State:FL
Mailing Address - Zip Code:33598-6151
Mailing Address - Country:US
Mailing Address - Phone:651-302-3582
Mailing Address - Fax:
Practice Address - Street 1:12950 US HIGHWAY 301 S STE 138
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-7459
Practice Address - Country:US
Practice Address - Phone:813-392-1218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL105954225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist