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NPI Code Detail

MEDICARE: PAMELA R BURNS MD

MEDICARE: PAMELA R BURNS MD
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
1207P00000XEmergency Medicine PhysicianME0048961FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ME48961OTHERFLFLORIDA MEDICAL LICENSE

General Provider Information

NPI Number : 1396832069
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA R BURNS MD
Provider Business Mailing Address
First Line : 5978 POWERS AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-2210
Country : US
Telephone Number : 904-737-8686
Fax Number : 904-448-5414
Provider Business Practice Location Address
First Line : 5978 POWERS AVE
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-2210
Country : US
Telephone Number : 904-737-8686
Fax Number : 904-448-5414
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 11/21/2007

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Directions to “ PAMELA R BURNS MD” Practice Location

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