| Maria Lourdes P Burgos, | |
|
820 E Orange Ave, Eustis, FL 32726-4248 | |
| (352) 589-1999 | |
| (352) 589-5145 |
| Full Name | Maria Lourdes P Burgos |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 820 E Orange Ave, Eustis, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972607349 | NPI | - | NPPES |
| PD066 | Other | FL | PEDICARE |
| 09722 | Other | FL | BLUE CROSS BLUE SHIELD |
| 1200629 | Other | FL | UNITED HEALTHCARE |
| 037046100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME0054370 (Florida) | Primary |
| 207Q00000X | Family Medicine | ME54370 (Florida) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Lourdes P Burgos, 820 E Orange Ave, Eustis, FL 32726-4248 Ph: (352) 589-1999 | Maria Lourdes P Burgos, 820 E Orange Ave, Eustis, FL 32726-4248 Ph: (352) 589-1999 |
Dr. Sherryl Gaye Gordon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 E Jennings Ave, Eustis, FL 32726 Phone: 352-357-5311 Fax: 352-357-0659 | |
Jose Soriano, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8-18 Eustis Street, Eustis, FL 32726 Phone: 352-589-6424 Fax: 352-589-6496 |