Healthcare Provider Details

I. General information

NPI: 1083326045
Provider Name (Legal Business Name): LYNDA MAUREEN BURGESS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2022
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 SE 18TH AVE STE 400
OCALA FL
34471-8213
US

IV. Provider business mailing address

3032 E CROWN DR
INVERNESS FL
34453-0347
US

V. Phone/Fax

Practice location:
  • Phone: 352-732-8905
  • Fax: 352-732-2440
Mailing address:
  • Phone: 352-207-4028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11023571
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: