Burkland, David W

Burkland, David W is an individual health care provider with primary practice located at 999 Mar Walt Drive White-Wilson East Building, Fort Walton Beach FL 32547-6707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Burkland, David W can be contacted via phone (850) 863-8221.

Contact Information

Primary practice address
999 Mar Walt Drive White-Wilson East Building Fort Walton Beach FL 32547-6707
Phone: (850) 863-8221
Fax: (850) 862-7965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME15715 Florida

Profile Details

NPI number 1467437616
LBN Legal business name Burkland, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated May 25th, 2011 - about 13 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 1467437616 NPPES
Florida MEDICAID 057010900
Florida Other 46103

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