Dr Jose Ricardo Burgos Polo, DMD | |
37944 Pasco Ave, Dade City, FL 33525-4202 | |
(352) 518-2000 | |
Not Available |
Full Name | Dr Jose Ricardo Burgos Polo |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 37944 Pasco Ave, Dade City, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013903996 | NPI | - | NPPES |
003690900 | Medicaid | FL | |
7082 | Other | PR | INTERNATIONAL MEDICAL CAR |
41079BU | Other | PR | SSS PROVIDER |
70338A | Other | PR | PREFERED MEDICAL CHOICE |
660427801F3 | Other | PR | MCS ADVANTAGE |
DTC18 | Other | FL | FLORIDA DENTAL TEMPORARY CERTIFICATE |
DTC-168 | Other | FL | FLORIDA STATE DENTAL TEMPORARY CERTIFICATE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 02586 (Puerto Rico) | Secondary |
1223G0001X | Dentist - General Practice | DTC18 (Florida) | Secondary |
122300000X | Dentist | DN27318 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Jose Ricardo Burgos Polo, DMD 110 Moller Way, Lakeland, FL 33813-2867 Ph: (863) 660-5401 | Dr Jose Ricardo Burgos Polo, DMD 37944 Pasco Ave, Dade City, FL 33525-4202 Ph: (352) 518-2000 |
Dr. Darshan Singh, Dentist Medicare: Not Enrolled in Medicare Practice Location: 33273 Cortez Blvd, Manor Place, Dade City, FL 33523 Phone: 352-583-4444 Fax: 352-583-5161 | |
Carly Signorelli, DMD Dentist Medicare: Medicare Enrolled Practice Location: 37944 Church Ave, Dade City, FL 33525 Phone: 352-518-2000 | |
Mr. Clarence Mcnair, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 37944 Church Ave, Dade City, FL 33525 Phone: 352-518-2000 Fax: 352-567-0218 | |
Mrs. Edith Moore, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 37944 Church Ave, Dade City, FL 33525 Phone: 352-518-2000 Fax: 352-518-0218 | |
Dr. Mili Doshi Patel, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 37221 Meridian Ave, Dade City, FL 33525 Phone: 352-567-3049 Fax: 352-567-9097 | |
Ms. Margaret Mauricio, DDS Dentist Medicare: Medicare Enrolled Practice Location: 37944 Pasco Ave, Dade City, FL 33525 Phone: 352-518-2000 Fax: 352-567-0218 |