Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

ETAMAR BORDOLEY
NPI 1245158468
Student in an Organized Health Care Education/Training Program in Hollywood, FL

Active since July 07, 2026
309 N 21ST AVE, HOLLYWOOD, FL 33020(305) 899-4722 Get Directions Write a Review

NPPES record added: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Etamar Bordoley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETAMAR BORDOLEY (NPI 1245158468) is an individual student in an organized health care education/training program in Hollywood, Florida and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1245158468
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETAMAR BORDOLEY
Location Address309 N 21ST AVEHollywood, FL 33020-4537
Mailing Address309 N 21st AveHollywood, FL 33020-4537
Sole ProprietorYes
Enumeration DateJuly 7, 2026
NPPES CertifiedJune 29, 2026
NPI 1245158468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
309 N 21ST AVE, Hollywood, FL 33020

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
309 N 21ST AVE
HOLLYWOOD, FL 33020
Registered Nurse
309 N 21ST AVE
HOLLYWOOD, FL 33020
Registered Nurse
309 N 21ST AVE
HOLLYWOOD, FL 33020
Registered Nurse
309 N 21ST AVE
HOLLYWOOD, FL 33020
Student in an Organized Health Care Education/Training Program
309 N 21ST AVE
HOLLYWOOD, FL 33020
Registered Nurse
309 N 21ST AVE
HOLLYWOOD, FL 33020
Registered Nurse
309 N 21ST AVE
HOLLYWOOD, FL 33020
Student in an Organized Health Care Education/Training Program
309 N 21ST AVE
HOLLYWOOD, FL 33020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Etamar Bordoley's NPI number?

The NPI number for Etamar Bordoley is 1245158468. It was assigned to this individual provider in the NPPES registry on July 7, 2026.

Where is Etamar Bordoley located?

Etamar Bordoley practices at 309 N 21st Ave, Hollywood, FL 33020. The listed phone number is (305) 899-4722.

What is Etamar Bordoley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Etamar Bordoley was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.