Healthcare Provider Details

I. General information

NPI: 1699133611
Provider Name (Legal Business Name): BURKE CONSULTING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2016
Last Update Date: 07/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6102 S MACDILL AVE STE H
TAMPA FL
33611-4779
US

IV. Provider business mailing address

3381 MAGIC OAK LN
SARASOTA FL
34232-1821
US

V. Phone/Fax

Practice location:
  • Phone: 813-254-1299
  • Fax: 813-877-6385
Mailing address:
  • Phone: 941-870-7234
  • Fax: 941-870-1012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number30211505
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDREW BURKE
Title or Position: PRESIDENT
Credential:
Phone: 941-870-7234