ELIDALIS R BURGOS APRN ACNP NPI 1477957934

NPI Information

NPI: 1477957934
Provider Name: ELIDALIS R BURGOS, APRN, ACNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
2415 N ORANGE AVE
700
ORLANDO, FL
ZIP 32804
Phone: (407) 303-2474
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Elidalis R Burgos, APRN, ACNP is a gerontology nurse practitioner in Orlando, FL. Elidalis R Burgos, APRN, ACNP NPI is 1477957934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2415 N ORANGE AVE
700
ORLANDO, FL
ZIP 32804-505
Phone: (407) 303-2474
Fax: (407) 303-0680

The NPI 1477957934 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2014 and was last updated on 1/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	ARNP 9258820	FLORIDA	No
2	363LG0600X	Nurse Practitioner	Gerontology	APRN9258820	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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