| Ms Lailatullah Burgos, APRN, NP-C | |
|
3238 S Lecanto Hwy, Lecanto, FL 34461-9025 | |
| (352) 632-4500 | |
| (352) 739-4300 |
| Full Name | Ms Lailatullah Burgos |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 3238 S Lecanto Hwy, Lecanto, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285785428 | NPI | - | NPPES |
| 307127800 | Medicaid | FL | |
| 017846500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 9232091 (Florida) | Primary |
| Entity Name | Premier Community Health Care Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841263399 PECOS PAC ID: 3476450818 Enrollment ID: O20031215000701 |
| Entity Name | Lifestream Behavioral Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902802002 PECOS PAC ID: 7012992720 Enrollment ID: O20040618000512 |
| Entity Name | Recover Together Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346736758 PECOS PAC ID: 7810247533 Enrollment ID: O20210202000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lailatullah Burgos, APRN, NP-C 3238 S Lecanto Hwy, Lecanto, FL 34461-9025 Ph: (352) 632-4500 | Ms Lailatullah Burgos, APRN, NP-C 3238 S Lecanto Hwy, Lecanto, FL 34461-9025 Ph: (352) 632-4500 |
Sally E Mcdonald, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 521 N Lecanto Hwy, Lecanto, FL 34461 Phone: 352-746-0707 Fax: 352-746-6333 | |
Tiffany Eddins, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 521 N Lecanto Hwy, Lecanto, FL 34461 Phone: 352-746-0707 Fax: 352-746-6333 | |
Ashton Mae Wester, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 Fax: 352-746-9320 | |
Jason Sirel, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 Fax: 352-746-9320 | |
Nancy Hindalong, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 | |
Charles F. Brinegar Jr., ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 | |
Mrs. Ann Marie O'shall, APRN FNP BC-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-8818 |