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Taylor Loraine Burgos

Family Medicine

Allopathic & Osteopathic Physicians

12410 N Nebraska Ave, Tampa, FL 33612-5352

PECOS Enrollment

This provider is enrolled in PECOS as TAYLOR BURGOS.

Based on the most recent information from CMS, provider Taylor Loraine Burgos is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1417848862
Provider Type
Individual
Full Name
Burgos, Taylor Loraine
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
7/14/2025
Last Updated
7/14/2025

Contact Information

Practice Location

12410 N Nebraska Ave, Tampa, FL 33612-5352

(813) 397-5300

Unlisted Fax

Mailing Location

12410 N Nebraska Ave, Tampa, FL 33612-5352

(813) 397-5300

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License APRN11040865 Florida

Taylor Loraine Burgos

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Glenn, Dana

Walicki, Celeste L.

Zarinczuk, James

Dawood, Siraaj

Menold, Victoria Ostheimer

Ackerman, Peter Jonathan

Shavor, Cindy Sue Soto

Octavio Perez-Velasco M D P A

Clayton, Gwendolyn Kristina

Wathington, Deanna J