Individual
DR. AGUSTIN BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1367 S UNIVERSITY DRIVE, PLANTATION, FL 33324-4000
(954) 474-1113
(954) 382-4910
Mailing address
1113 WATERSIDE CIRCLE, WESTON, FL 33327-2030
(954) 474-1113
(954) 382-4910
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME78600
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274451
AUMED
FL
01
—
47137
BLUE CROSS
FL
Enumeration date
11/06/2006
Last updated
07/08/2007
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