Individual
RICHEY BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2205 PONTINA CT APT K, KISSIMMEE, FL 34741-2816
(787) 432-9749
Mailing address
2205 PONTINA CT APT K, KISSIMMEE, FL 34741-2816
(787) 432-9749
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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