Burkett, Charles M

Burkett, Charles M is an individual health care provider with primary practice located at 1673 Mason Ave Suite # 305, Daytona Beach FL 32117-5515. He recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Burkett, Charles M can be contacted via phone (386) 274-7118.

Contact Information

Primary practice address
1673 Mason Ave Suite # 305 Daytona Beach FL 32117-5515
Phone: (386) 274-7118
Fax: (386) 274-6173
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X ME0045020 Florida
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME0045020 Florida
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X ME0045020 Florida
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X ME0045020 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME0045020 Florida
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X ME0045020 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME0045020 Florida
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X ME0045020 Florida

Profile Details

NPI number 1215970231
LBN Legal business name Burkett, Charles M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 1st, 2010 - about 14 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 1215970231 NPPES
Florida Other 64542 BLUE CROSS BLUE SHIELD
Florida MEDICAID 041544800 BLUE CROSS BLUE SHIELD

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