Burgess, Daisha

Burgess, Daisha is an sole proprietor health care provider with primary practice located at 1600 Lakeland Hills Blvd , Lakeland FL 33805-3065. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Burgess, Daisha can be contacted via phone (863) 680-7190.

Contact Information

Primary practice address
1600 Lakeland Hills Blvd Lakeland FL 33805-3065
Phone: (863) 680-7190
Fax: (866) 264-8519
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X NP11022343 Florida
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11022343 Florida

Profile Details

NPI number 1124742168
LBN Legal business name Burgess, Daisha
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2022
Last updated Nov 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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