Individual
LUIS E BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 SW ARCHER RD, MALCOM RANDALL VA MEDICAL CENTER, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
1206 NW 104TH TER, GAINESVILLE, FL 32606-8058
(787) 504-4624
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11888
PR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
11888
PR
Other
Enumeration date
12/15/2006
Last updated
09/11/2025
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