Individual
JULIO ANTONIO BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4024 CENTRAL AVE, SAINT PETERSBURG, FL 33711-1239
(727) 327-7656
(727) 322-2110
Mailing address
PO BOX 10970, SAINT PETERSBURG, FL 33733-0970
(727) 327-7656
(727) 322-2110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/29/2010
Last updated
07/21/2022
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