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

Kyle James Borodunovich

Individual provider Family Medicine Physician · NPI 1396232229

Kyle James Borodunovich is a Family Practice in St Petersburg, Florida. Qualified in 2018, 8 years ago. Practices with Optumcare Florida, LLC, a 267-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2812 54th Ave S
St Petersburg, FL 33712-4610
Phone: (727) 867-8641
Fax: (727) 867-6795
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS17309 (FL)

Record details

NPI number1396232229
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 17, 2018
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022
Mailing address5130 Sunforest Dr Ste 300, Tampa, FL 33634-6327

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Optumcare Florida, Llc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in St Petersburg