Individual provider · NPI-1

Dr. Dana Geoffrey Borgeson, D.O.

Radiology, Diagnostic Radiology · Port Charlotte, FL

NPI number1295706950
StatusActive
Last updated in NPPESAug 12, 2026

Details

NPI
1295706950
Entity type
Individual (NPI-1)
Name
Dr. Dana Geoffrey Borgeson
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Jan 31, 2006
Certification date
Aug 12, 2026
Last updated
Aug 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology0102050201VAYes
2085R0202X Radiology, Diagnostic RadiologyOS5985FL
2085R0202X Radiology, Diagnostic Radiology25IB13248700NJ
2085R0202X Radiology, Diagnostic Radiology34.009943OH
2085R0202X Radiology, Diagnostic Radiology18413WI

Practice location

3430 Tamiami Trl
Ste B
Port Charlotte, FL 33952-8148

Phone 855-674-4624 · Fax 941-883-8368

Mailing address

3410 Stanley St
Stevens Point, WI 54481-1325

Phone 715-344-1234 · Fax 715-344-6367

Other practice locations

100 Madison Ave
Morristown, NJ 07960-6136

Phone 973-971-5370 · Fax 973-290-7294

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Radiology, Diagnostic Radiology providers in Port Charlotte, FL