NPI

Christopher Jacob Bordelon

NPI 1548756893

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
PA-C
Type
Individual
Enumeration date
2018-07-10
Last updated
2021-09-15

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Specialties

Licenses

License FL
PA9111443
License MO
2018024459

Location

Practice location
2550 W Dr Martin Luther King Jr Blvd Ste B
City
Tampa FL
Postal code
33607-6302
Phone
(813) 876-6483

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. Confirm on OIG's online search.

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Nearby

Other NPIs in Tampa, FL. 35,012 records in the public file.

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