Burk, Robert W.

Burk, Robert W. is an individual health care provider with primary practice located at 209 Ponte Vedra Park Dr , Ponte Vedra Beach FL 32082-6600. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Burk, Robert W. can be contacted via phone (904) 273-6200.

Contact Information

Primary practice address
209 Ponte Vedra Park Dr Ponte Vedra Beach FL 32082-6600
Phone: (904) 273-6200
Fax: (904) 280-8013
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME57422 Florida

Profile Details

NPI number 1174630644
LBN Legal business name Burk, Robert W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated May 1st, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174630644 NPPES
Florida MEDICAID 377927100

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