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Individual

FAUSTO RONALD BURGOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12301 LAKE UNDERHILL RD STE 215, ORLANDO, FL 32828-4511
(321) 235-0692
(321) 235-0694
Mailing address
4034 GREENLEAF DR, KISSIMMEE, FL 34744-9150
(407) 242-0293

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0062672
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115750100
FL
Enumeration date
07/04/2006
Last updated
03/17/2025
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