JULIO ANTONIO BURGOS (NPI# 1710281191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710281191 |
| Entity Type | Individual |
| Full Name | JULIO ANTONIO BURGOS |
| Practice Address |
4024 Central Ave Saint Petersburg FL 33711-1239 |
| Mailing Address |
Po Box 10970 Saint Petersburg FL 33733-0970 |
| Practice Telephone | 7273277656 |
| Practice Fax Number | 7273222110 |
| Mailing Telephone | (727) 327-7656 |
| Mailing Fax Number | 7273222110 |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2017-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
4024 CENTRAL AVE |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33711-1239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023581147 | Jessica S Archiquette | Counselor | 4024 Central Ave, Saint Petersburg, FL 33711-1239 | 2019-01-11 |
| 1770053605 | Erin Conte | Counselor | 4024 Central Ave, Saint Petersburg, FL 33711-1239 | 2018-12-04 |
| 1902386907 | Shana J Harper | Social Worker | 4024 Central Ave, Saint Petersburg, FL 33711-1239 | 2018-08-19 |
| 1295275097 | Andrea R Brockman | Counselor | 4024 Central Ave, Saint Petersburg, FL 33711-1239 | 2017-02-28 |
| 1649728460 | Edward Williams | Social Worker | 4024 Central Ave, Saint Petersburg, FL 33711-1239 | 2016-09-21 |
| 1023566783 | Anika Dzik | Case Manager/Care Coordinator | 4024 Central Ave, Saint Petersburg, FL 33711-1239 | 2016-09-12 |
| 1215325204 | Natasha Nixon | Licensed Practical Nurse | 4024 Central Ave, Saint Petersburg, FL 33711-1239 | 2014-12-30 |
| 1477811255 | Cyndie Campbell | Counselor | 4024 Central Ave, Saint Petersburg, FL 33711-1239 | 2012-04-30 |
| 1043591555 | David Nathaniel Newby | Registered Nurse | 4024 Central Ave, Saint Petersburg, FL 33711-1239 | 2011-08-30 |
| 1457650194 | Katherine Dan Salkovitz | Marriage & Family Therapist | 4024 Central Ave, Saint Petersburg, FL 33711-1239 | 2011-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639665110 | Armando Alvarez Gonzalez | Nurse Practitioner | 3404 26th Ave S, St Petersburg, FL 33711 | 2018-07-08 |
| 1508398843 | S&r Cares LLC | Preferred Provider Organization | 4201 4th Avenue South Street, St Petersburg, FL 33711 | 2017-03-28 |
| 1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
| 1871966069 | Kelly Jean Plant | Home Health Aide | 3611 3rd Ave South, St Petersburg, FL 33711 | 2015-11-10 |
| 1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
| 1063771947 | Vincent Ford | Physical Therapy Assistant | 3479 22nd Avenue, St.petersburg, FL 33711 | 2012-05-11 |
| 1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
| 1801180187 | Karen Lynn Wilcox | Massage Therapist | 2026 44th Street S, Saint Petersburg, FL 33711 | 2011-06-04 |
| 1881998722 | Martha L Allen | Assisted Living Facility | 1860 46 Street South, St. Petersburg, FL 33711 | 2011-01-07 |
| 1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
| Find all providers in zip 33711 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023425253 | Christopher Francis Pavonetti | Case Manager/Care Coordinator | 876 Roser Park Dr S, Saint Petersburg, FL 33701-4702 | 2014-07-21 |
| 1063653913 | Tracy Ann Vaness | Case Manager/Care Coordinator | 8121 25th Ave N, Saint Petersburg, FL 33710-3629 | 2009-03-23 |
| 1245421528 | Todd Johnson | Case Manager/Care Coordinator | 2110 30th St S, Saint Petersburg, FL 33712-2949 | 2007-08-05 |
| 1023566783 | Anika Dzik | Case Manager/Care Coordinator | 4024 Central Ave, Saint Petersburg, FL 33711-1239 | 2016-09-12 |
| 1669624516 | James Shea | Case Manager/Care Coordinator | 4024 Central Ave, Saint Petersburg, FL 33711-1239 | 2008-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023925 | Eddy David | Case Manager/Care Coordinator | 1118 Grayson Dr, Orlando, FL 32825-6724 | 2020-11-06 |
| 1316547615 | Kyomi Santana | Case Manager/Care Coordinator | 8100 Oak Ln Ste 4048100, Miami Lakes, FL 33016-5820 | 2020-10-27 |
| 1538768072 | Emma Eloisa Cruz | Case Manager/Care Coordinator | 1105 Cobblestone Cir Apt B, Kissimmee, FL 34744-5563 | 2020-10-24 |
| 1891394409 | Ariadna Cannet | Case Manager/Care Coordinator | 27583 Sw 143rd Ct, Homestead, FL 33032-8871 | 2020-10-23 |
| 1952900839 | Yipsia Mayrelis Cordovi Cancio | Case Manager/Care Coordinator | 3837 Sw 79th Ave Apt A, Miami, FL 33155-6755 | 2020-10-21 |
| 1326646985 | Lewis Connects | Case Manager/Care Coordinator | 885 Hickory Ave, Orange City, FL 32763-6864 | 2020-10-15 |
| 1821696071 | Dianelis Ramirez | Case Manager/Care Coordinator | 6245 Dell St, Orlando, FL 32809-4311 | 2020-10-10 |
| 1548867831 | Jessica Bickman | Case Manager/Care Coordinator | 1026 Replica Ave, Sebring, FL 33872-2720 | 2020-10-08 |
| 1447857123 | Omayra Rolon-rivera | Case Manager/Care Coordinator | 1371 Tuscana Ln Apt 6102, Davenport, FL 33896-5302 | 2020-10-05 |
| 1679180392 | Astrid C Montesinos Franco | Case Manager/Care Coordinator | 7656 Nw 5th St Apt 4f, Plantation, FL 33324-1940 | 2020-09-27 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33711 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.