MEDICARE: ROBERT D BURKE MD PL

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	2085R0202X	Diagnostic Radiology Physician	ME48425	FL

General Provider Information

NPI Number	:	1750718300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT D BURKE MD PL

Provider Business Mailing Address
First Line	:	844 HARBOUR ISLE PL
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-4408
Country	:	US
Telephone Number	:	561-248-5522
Fax Number	:	561-907-4892

Provider Business Practice Location Address
First Line	:	844 HARBOUR ISLE PL
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33410-4408
Country	:	US
Telephone Number	:	561-248-5522
Fax Number	:	561-907-4892

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT D BURKE
Credential	:	MD
Telephone Number	:	561-248-5522

Provider Enumeration Date	:	09/27/2013
Last Update Date	:	09/27/2013

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