Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Vitaly Borodin, MD

Individual provider Cytopathology Physician · NPI 1659702553

Dr. Vitaly Borodin, MD is a Pathology in Tampa, Florida. Qualified in 2002, 24 years ago. Practices with Integrated Regional Laboratories Pathology Services, LLC, a 133-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Pennsylvania.

Years since qualifying
24
Licensed in
FL, PA
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3301 Bayshore Blvd Unit 1709
Tampa, FL 33629-8845
Phone: (484) 350-7158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5481 W Waters Ave, Tampa, FL 33634-1205 — (484) 350-7158
  • 1250 E. Marshall St, Richmond, VA 23298-0662 — (804) 828-0561

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence ME135873 (FL)
Cytopathology Physician Taxonomy 207ZC0500X · Licence ME135873 (FL)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence MT201400 (PA)

Record details

NPI number1659702553
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 3, 2013
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Integrated Regional Laboratories Pathology Services, Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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