MEDICARE: MS. DIANA THERESA BURCHETT APRN

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9234499	FL
2	363LF0000X	Family Nurse Practitioner	APRN9234499	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275030629
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DIANA THERESA BURCHETT APRN

Provider Business Mailing Address
First Line	:	11823 TETRAFIN DR
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33579-4128
Country	:	US
Telephone Number	:	813-954-0363
Fax Number	:	813-644-5745

Provider Business Practice Location Address
First Line	:	137 S PEBBLE BEACH BLVD STE 202C
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5708
Country	:	US
Telephone Number	:	813-954-0363
Fax Number	:	813-644-5745

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2018
Last Update Date	:	09/25/2025

Similar Medicare Providers

1518959295 — DR. BONNIE JEAN LEES MD
Practice Location Address:

8200 DODGE STREET , CHILDREN'S HOSPITAL & MEDICARE CENTER
OMAHA, NE
68114-4113

Practice Phone: 402-955-6140
Practice Fax: 402-955-3398

1023091527 — DR. FRANKIE ANNE SMALL ED.D. ED.S. MSW LCSW
Practice Location Address:

137 S PEBBLE BEACH BLVD STE 202A
SUN CITY CENTER, FL
33573-5708

Practice Phone: 850-232-2148
Practice Fax: 813-330-3339

1235485715 — DR. JEREMY ERIC HALL DPT
Practice Location Address:

137 S PEBBLE BEACH BLVD STE 204
SUN CITY CENTER, FL
33573-5708

Practice Phone: 813-530-2799
Practice Fax:

1639625163 — SANTORO & SANTORO ENTERPRISES, INC.
Practice Location Address:

137 S PEBBLE BEACH BLVD STE 204
SUN CITY CENTER, FL
33573-5708

Practice Phone: 813-800-2273
Practice Fax: 813-337-6282

1336650233 — FRANKIE SMALL
Practice Location Address:

137 S PEBBLE BEACH BLVD STE 202H
SUN CITY CENTER, FL
33573-5708

Practice Phone: 850-232-2148
Practice Fax: 813-330-3339

1912411836 — CARE AGENCY LLC
Practice Location Address:

137 S PEBBLE BEACH BLVD STE 101
SUN CITY CENTER, FL
33573-5708

Practice Phone: 888-899-8665
Practice Fax: 772-209-5970

Directions to “ MS. DIANA THERESA BURCHETT APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.