MEDICARE: ROBERT BURGER M.D.

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	208800000X	Urology Physician	ME12848	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	50667	OTHER	FL	FL. BC/BS

General Provider Information

NPI Number	:	1326040619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT BURGER M.D.

Provider Business Mailing Address
First Line	:	3230 LAKE WORTH RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-3694
Country	:	US
Telephone Number	:	561-964-0910
Fax Number	:	561-964-6545

Provider Business Practice Location Address
First Line	:	3230 LAKE WORTH RD
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-3694
Country	:	US
Telephone Number	:	561-964-0910
Fax Number	:	561-964-6545

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	12/19/2007

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