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NPI Code Detail

MEDICARE: TEONIA NICOLE BURTON LM,CPM

MEDICARE: TEONIA NICOLE BURTON LM,CPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1176B00000XMidwifeMW431FL
2174H00000XHealth Educator
3376K00000XNurse's Aide
4374J00000XDoula

General Provider Information

NPI Number : 1265777809
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEONIA NICOLE BURTON LM,CPM
Provider Business Mailing Address
First Line : PO BOX 4581
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33083-4581
Country : US
Telephone Number : 786-750-9552
Fax Number :
Provider Business Practice Location Address
First Line : 6100 GRIFFIN RD STE 310
Second Line :
City : DAVIE
State : FL
Zip : 33314-4416
Country : US
Telephone Number : 786-750-9552
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2012
Last Update Date : 05/01/2026

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