Individual
DR. ELIOE BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-2285
(386) 425-1304
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-2285
(386) 425-1304
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
ME61835
FL
208000000X
Pediatrics Physician
Primary
ME0061835
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370467000
—
FL
01
—
ME61835
STATE MEDICAL LICENSE
FL
Enumeration date
11/17/2006
Last updated
06/18/2020
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