Burkett, Clinton
Burkett, Clinton is an individual health care provider with primary practice located at 1150 N 35Th Ave Ste 300 , Hollywood FL 33021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Burkett, Clinton can be contacted via phone (954) 265-1490.Contact Information
Primary practice address
1150 N 35Th Ave Ste 300
Hollywood FL 33021
Phone: (954) 265-1490
Fax: (954) 989-0454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ME108371 | Florida |
Profile Details
| NPI number | 1568661361 |
|---|---|
| LBN Legal business name | Burkett, Clinton |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2007 |
| Last updated | Mar 18th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568661361 | NPPES |
| Florida | MEDICAID | 004513100 |
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