Individual
DIANA A BURGUENO VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 PABLO STREET, LAKELAND, FL 33803
(863) 284-5941
(863) 284-5199
Mailing address
1324 LAKELAND HILLS BLVD, ATTN: MEDICAL STAFF OFFICE, LAKELAND, FL 33805-4543
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME116240
FL
Other
Enumeration date
07/24/2007
Last updated
07/29/2015
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