Stephanie Elizabeth Burgos (NPI# 1366731846, PAC ID# 4587822788) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1366731846 |
| PAC ID by PECOS | 4587822788 |
| Professional Enrollment ID | I20151124001568 |
| Full Name | Stephanie Elizabeth Burgos |
| Organization Legal Name | THOMASVILLE EMERGENCY PHYSICIANS LLC |
| Address |
1000 Mar Walt Dr Fort Walton Beach FL 32547-6708 |
| Phone Number | 8508640213 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1658659172 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100329 | OVIEDO MEDICAL CENTER |
| 100320 | POINCIANA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 | 8508640213 | THOMASVILLE EMERGENCY PHYSICIANS LLC |
| 325 Cypress Pkwy, Kissimmee, FL 34759-3326 | 4075302000 | EAGLE PEAK EMERGENCY PHYSICIANS LLC |
| 12100 S John Young Pkwy, Orlando, FL 32837-7606 | 4079037033 | RED MOUNTAIN EMERGENCY PHYSICIANS LLC |
| 8300 Red Bud Lake Rd, Oviedo, FL 32765-6801 | 4073596010 | JAX EMERGENCY PHYSICIANS, LLC |
| Organization Legal Name | THOMASVILLE EMERGENCY PHYSICIANS LLC |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary David Wright | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Timothy A Rak | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Troy Saline | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| John E Fortenberry | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Polly T Dole | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Nicely Y Guzman | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Keith A Knigge | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Angenette Purcell Rashad | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Todd D Bell | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Andrzej T Dmowski | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Street Address |
1000 MAR WALT DR |
| City | FORT WALTON BEACH |
| State | FL |
| Zip | 32547-6708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary David Wright | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Pamela S Buckallew | Nurse Practitioner | Fl-i Medical Services LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Timothy A Rak | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Sean E Thompson | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of North Florida LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Cathleen C Hoffman | Nurse Practitioner | Fl-i Medical Services LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Anne Marie Crow | Nurse Practitioner | Fl-i Medical Services LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Yvonne M Browning | Certified Registered Nurse Anesthetist (crna) | Anesthesia Physician Solutions of North Florida LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Troy Saline | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| John E Fortenberry | Emergency Medicine | Thomasville Emergency Physicians LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Megan Kayla Renner | Physician Assistant | Australian Lungfish Surgical Specialists LLC | 1000 Mar Walt Dr, Fort Walton Beach, FL 32547-6708 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morris E Gales Iii | General Surgery | Florida Post Acute Care Clinicians LLC | 1 L B J Sr Dr, Fort Walton Beach, FL 32547-1163 |
| John D Sites | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Teresa Marie Skojac | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Peter Kerr Senechal | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Chris George Pappas | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Christopher P Paulson | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Susan T Ott | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Brandy Marie Lackey | Nurse Practitioner | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Grant Eugene Zachary | Family Medicine | Magnolia Medical Clinic P.a. | 319 Green Acres Rd, Suite 101, Fort Walton Beach, FL 32547-1170 |
| Jamison E Gaddy | Physician Assistant | Australian Lungfish Surgical Specialists LLC | 1703 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1221 |
| Find all physicians in zip 32547 | |||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | FORT WALTON BEACH + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Stephanie Elizabeth Burgos.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.