Heron, Lismore Burton

Heron, Lismore Burton is an individual health care provider with primary practice located at 1027 Se Ocean Blvd , Stuart FL 34996-2576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Heron, Lismore Burton can be contacted via phone (772) 781-0222.

Contact Information

Primary practice address
1027 Se Ocean Blvd Stuart FL 34996-2576
Fax: (772) 781-0008
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME0082280 Florida

Profile Details

NPI number 1326047432
LBN Legal business name Heron, Lismore Burton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 17th, 2016 - about 8 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 1326047432 NPPES
Florida MEDICAID 261960100
Florida Other ME082280

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