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

Roman Borukhov

Individual provider Meals Provider · NPI 1558122242

Roman Borukhov is a Meals Provider in North Port, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

2620 S Biscayne Dr
North Port, FL 34287-4126
Phone: (941) 416-8308
Show map & directions

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

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X
Meals Provider Taxonomy 174200000X
Homemaker Taxonomy 376J00000X

Record details

NPI number1558122242
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 19, 2024
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024
Mailing address2620 S Biscayne Dr, North Port, FL 34287-4126

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