NPI

Olamide O Borisade

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
MSN, APRN, PMHNP-BC
Type
Individual
Enumeration date
2020-07-27
Last updated
2025-03-03

Specialties

Licenses

License FL
11037449

Location

Practice location
309 Glenneyre Cir
City
Saint Augustine FL
Postal code
32092-1226
Phone
(904) 333-1600

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Saint Augustine, FL. 954 records in the public file.

Removal request

Public data from NPPES and CMS. Not a credentialing determination.

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