Burgos, Jose A

Burgos, Jose A is an individual health care provider with primary practice located at 1194 Mariner Blvd , Spring Hill FL 34609-5603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Burgos, Jose A can be contacted via phone (352) 835-7136.

Contact Information

Primary practice address
1194 Mariner Blvd Spring Hill FL 34609-5603
Phone: (352) 835-7136
Fax: (352) 610-4454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME80045 Florida

Profile Details

NPI number 1730153545
LBN Legal business name Burgos, Jose A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jun 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730153545 NPPES
Florida MEDICAID 015980500

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