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

Etamar Bordoley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1245158468

Etamar Bordoley is a Student in an Organized Health Care Education/Training Program in Hollywood, Florida. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

309 N 21st Ave
Hollywood, FL 33020-4537
Phone: (305) 899-4722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1245158468
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 7, 2026
Last updated in NPPESJuly 7, 2026
Certification dateJune 29, 2026
Mailing address309 N 21st Ave, Hollywood, FL 33020-4537

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