MEDICARE: LAKESHIA QUENIC BURR

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	163W00000X	Registered Nurse	6579420	FL

General Provider Information

NPI Number	:	1336518711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKESHIA QUENIC BURR

Provider Business Mailing Address
First Line	:	2825 STONEWAY LN APT B
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34982-4344
Country	:	US
Telephone Number	:	772-878-9000
Fax Number	:	772-878-9600

Provider Business Practice Location Address
First Line	:	2825 STONEWAY LN APT B
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34982-4344
Country	:	US
Telephone Number	:	772-878-9000
Fax Number	:	772-878-9600

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

Provider Enumeration Date	:	09/16/2015
Last Update Date	:	09/16/2015

Similar Medicare Providers

1164428074 — DR. NINA T JORDANIA MD
Practice Location Address:

6801 PORTO FINO CIR , STE 1
FORT MYERS, FL
33912-4344

Practice Phone: 239-225-0874
Practice Fax: 239-225-1465

1821149733 — FORT WORTH REHAB GROUP
Practice Location Address:

3301 N MAIN ST , SUITE B
FORT WORTH, TX
76106-4344

Practice Phone: 817-624-4141
Practice Fax: 817-624-4227

1437521218 — DR. STEPHEN BAILEY M.D.
Practice Location Address:

21471 WIDGEON TER
FORT MYERS BEACH, FL
33931-4344

Practice Phone: 239-314-5633
Practice Fax:

1396419610 — DNA COMPREHENSIVE THERAPY SERVICES, LLC
Practice Location Address:

6801 PORTO FINO CIR STE 1
FORT MYERS, FL
33912-4344

Practice Phone: 239-223-2751
Practice Fax: 239-561-2933

1770172165 — YURELIS GONZALEZ
Practice Location Address:

4006 GREENWOOD DR
FORT PIERCE, FL
34982-6151

Practice Phone: 305-450-1969
Practice Fax:

1578414553 — SLC ADVANCED PRACTICE LLC
Practice Location Address:

1812 HAZELWOOD DR
FORT PIERCE, FL
34982-6579

Practice Phone: 772-874-3269
Practice Fax:

Directions to “ LAKESHIA QUENIC BURR ” 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 © 2007-2026 (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.