Healthcare Provider Details

I. General information

NPI: 1205849890
Provider Name (Legal Business Name): DEBBIE L BURTON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBBIE L ROBERTSON

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 COLUMBIA ST
ORLANDO FL
32806-1006
US

IV. Provider business mailing address

200 AVENUE F NE
WINTER HAVEN FL
33881
US

V. Phone/Fax

Practice location:
  • Phone: 407-875-3700
  • Fax: 407-822-5024
Mailing address:
  • Phone: 863-293-1121
  • Fax: 863-291-6084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN1706362
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: