Burgos, Lailatullah

Burgos, Lailatullah is an individual health care provider with primary practice located at 37840 Medical Arts Ct , Zephyrhills FL 33541-4325. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burgos, Lailatullah can be contacted via phone (352) 518-2000.

Contact Information

Primary practice address
37840 Medical Arts Ct Zephyrhills FL 33541-4325
Phone: (352) 518-2000
Fax: (352) 567-0218
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9232091 Florida

Profile Details

NPI number 1285785428
LBN Legal business name Burgos, Lailatullah
Credentials APRN, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Jun 18th, 2019 - about 5 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 1285785428 NPPES
Florida MEDICAID 307127800
Florida MEDICAID 017846500

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