Burgos Polanco, Natalia D

Burgos Polanco, Natalia D is an individual health care provider with primary practice located at 1223 Gateway Dr Ste 1F , Melbourne FL 32901-2607. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Burgos Polanco, Natalia D can be contacted via phone (321) 215-4910.

Contact Information

Primary practice address
1223 Gateway Dr Ste 1F Melbourne FL 32901-2607
Phone: (321) 215-4910
Fax: (321) 956-2539
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X ME140580 Florida

Profile Details

NPI number 1548688476
LBN Legal business name Burgos Polanco, Natalia D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2014
Last updated Oct 31st, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548688476 NPPES
Florida Other LK691 MEDICARE
Florida MEDICAID 103174600 MEDICARE

Popular Providers