Individual
ELIDALIS R BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, ACNP
Contact information
Practice address
2415 N ORANGE AVE, 700, ORLANDO, FL 32804-5505
(407) 303-2474
(407) 303-0680
Mailing address
2415 N ORANGE AVE, 700, ORLANDO, FL 32804-5505
(407) 303-2474
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
ARNP 9258820
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN9258820
FL
Other
Enumeration date
10/13/2014
Last updated
01/28/2020
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