Burton, Mary

Burton, Mary is an sole proprietor health care provider with primary practice located at 2475 Nw 82Nd St , Miami FL 33147-4843. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Burton, Mary can be contacted via phone (305) 835-6891.

Contact Information

Primary practice address
2475 Nw 82Nd St Miami FL 33147-4843
Phone: (305) 835-6891
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X CFCE 1007-4447-91 Florida

Profile Details

NPI number 1245405505
LBN Legal business name Burton, Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 16 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 1245405505 NPPES
Florida Other 300210100 MEDICAID PROVIDER NUMBER

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