Active NPI
Eunique Patrica Burgos, NP-C
- Family Nurse Practitioner
- Coral Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9307962
- Practice address
- 11555 Heron Bay Blvd
Suite 238
Coral Springs, FL 33076-3360 - Phone
- (800) 897-9177
- Fax
- (800) 470-8713
- NPI assigned
- Aug 26, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9307962 | FL | Primary |
Addresses
Primary practice location
11555 Heron Bay Blvd
Suite 238
Coral Springs, FL 33076-3360
Mailing address
3138 Pizzaro PL
Clermont, FL 34715-8012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 Northlake Blvd
Suite 400
Altamonte Springs, FL 32701-6126
Phone (407) 743-5360
Hospital & facility affiliations
- Adventhealth Orlando
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9307962 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Cancer Specialists & Research Institute, LLC | Current | Accepting new patients | |
| Dispatchhealth-Florida Inc. | Current | Accepting new patients |
Locations
650 Northlake Blvd
Ste 400
Altamonte Springs, FL 32701
Phone (407) 743-5360
4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916
Phone (239) 432-8500
8270 College Pkwy
Ste 103
Fort Myers, FL 33919
Phone (239) 322-3434
3200 SW 34th Ave
Ste 702
Ocala, FL 34474
4420 Sun N Lake Blvd
Fl Cancer
Sebring, FL 33872
Phone (863) 385-1244
5421 Beaumont Center Blvd
Ste 660
Tampa, FL 33634
Phone (813) 551-1015
1400 N US Highway 441
Ste 540
The Villages, FL 32159
Phone (352) 561-3290
Interoperability endpoints
- eburgos127557@adventhealth.direct-ci.com
- eunique.burgos.1@13869.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1407472723
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1831645209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3138 PIZZARO PL",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347158012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11555 HERON BAY BLVD",
"address_2": "SUITE 238",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330763360",
"telephone_number": "800-897-9177",
"fax_number": "800-470-8713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGOS",
"first_name": "EUNIQUE",
"middle_name": "PATRICA",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-26",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9307962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.