Burk, Ronald
Burk, Ronald is an individual health care provider with primary practice located at 1099 Florida Ave S , Rockledge FL 32955-2138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Burk, Ronald can be contacted via phone (321) 632-6900.Contact Information
Primary practice address
1099 Florida Ave S
Rockledge FL 32955-2138
Phone: (321) 632-6900
Fax: (321) 639-7222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Facial Plastic Surgery | 207YS0123X | ME19766 | Florida |
Profile Details
| NPI number | 1528040136 |
|---|---|
| LBN Legal business name | Burk, Ronald |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Feb 25th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528040136 | NPPES |
| Florida | MEDICAID | 036995100 |
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