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Individual

STEPHANIE BURGOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4409 HOFFNER AVE # 405, ORLANDO, FL 32812-2331
(917) 763-7102
Mailing address
10896 LEMON LAKE BLVD, ORLANDO, FL 32836-5040
(917) 763-7102

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME125094
FL

Other

Enumeration date
04/05/2011
Last updated
12/31/2024
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