Provider Demographics
NPI:1336938190
Name:BORINSKY, LAURA (CNS, LDN)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:BORINSKY
Suffix:
Gender:
Credentials:CNS, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8942 CARLYLE AVE
Mailing Address - Street 2:
Mailing Address - City:SURFSIDE
Mailing Address - State:FL
Mailing Address - Zip Code:33154-3357
Mailing Address - Country:US
Mailing Address - Phone:443-310-2979
Mailing Address - Fax:
Practice Address - Street 1:8942 CARLYLE AVE
Practice Address - Street 2:
Practice Address - City:SURFSIDE
Practice Address - State:FL
Practice Address - Zip Code:33154-3357
Practice Address - Country:US
Practice Address - Phone:443-310-2979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14286133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist