Dr Jose Omar Burgos, MD | |
201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114-2765 | |
(386) 425-4165 | |
(386) 425-7545 |
Full Name | Dr Jose Omar Burgos |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 6 Years |
Location | 201 N Clyde Morris Blvd Ste 200, Daytona Beach, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053804997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME143495 (Florida) | Secondary |
207Q00000X | Family Medicine | TRN27047 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Home Care East Florida | Ormond beach, FL | Home health agency |
Florida Hospital Flagler | Palm coast, FL | Hospital |
Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adventhealth Primary Care Network Inc | 1557722410 | 338 |
Entity Name | Adventhealth Primary Care Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093493637 PECOS PAC ID: 1557722410 Enrollment ID: O20230725004134 |
Mailing Address | Practice Location Address |
---|---|
Dr Jose Omar Burgos, MD 201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114-2765 Ph: (386) 425-4165 | Dr Jose Omar Burgos, MD 201 N Clyde Morris Blvd Ste 200, Daytona Beach, FL 32114-2765 Ph: (386) 425-4165 |
Lindsay Marie Podhajsky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 201 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-254-4165 | |
Ejaz Ahmed, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-506-8555 Fax: 386-944-9944 | |
Dr. Margaret Crossman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 201 North Clyde Morris Blvd., Suite 200, Halifax Family Health Center, Daytona Beach, FL 32114 Phone: 386-947-4665 Fax: 386-258-4891 | |
Mr. Luther St. James Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1890 Lpga Blvd, 170, Daytona Beach, FL 32117 Phone: 386-274-3354 Fax: 386-274-5564 | |
Dr. Joshua Robert Eisenhut, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117 Phone: 386-231-3570 Fax: 386-231-3571 | |
Kenneth J Lucas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 405 N Clyde Morris Blvd, 405 N Clyde Morris Blvd, Daytona Beach, FL 32114 Phone: 386-257-1626 Fax: 386-254-7507 |