Organization
MARIA LOURDES P BURGOS , MD
Active
Other names
MA LOURDES P BURGOS ,MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA LOURDES P BURGOS MD (PHYSICIAN)
(352) 255-3688
Entity
Organization
Contact information
Practice address
820 E ORANGE AVE, EUSTIS, FL 32726-4248
(352) 589-1999
(352) 589-5145
Mailing address
820 E ORANGE AVE, EUSTIS, FL 32726-4248
(352) 589-1999
(352) 589-5145
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME 054370
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037046100
—
FL
Enumeration date
08/04/2015
Last updated
08/04/2015
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