Individual provider Active NPI

Eunique Patrica Burgos, NP-C

  • Family Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1831645209
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9307962 Issued in FL
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

Updated by the provider on Aug 26, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161109002256 FL Practitioner - Nurse Practitioner 3779862024 Reassigns benefits to 2 organizations

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
Dispatchhealth-Florida Inc.Group PAC ID 2668899220, 36 clinicians

Practice addresses (Care Compare)

650 Northlake Blvd
Suite 400
Altamonte Springs, FL 32701-6126
Phone (407) 743-5360

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9307962FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Jul 8, 2019 Accepting new patients
Dispatchhealth-Florida Inc. CurrentSince Aug 1, 2024 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

  • Direct secure messaging: eburgos127557@adventhealth.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.