MEDICARE: DR. RONALD MICHAEL BURAL 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	2084P0800X	Psychiatry Physician	ME0033190	FL

General Provider Information

NPI Number	:	1487621744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD MICHAEL BURAL M.D.

Provider Business Mailing Address
First Line	:	9912 LITTLE RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-3419
Country	:	US
Telephone Number	:	727-869-4250
Fax Number	:	727-869-4196

Provider Business Practice Location Address
First Line	:	9912 LITTLE RD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-3419
Country	:	US
Telephone Number	:	727-869-4250
Fax Number	:	727-869-4196

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

Provider Enumeration Date	:	03/07/2006
Last Update Date	:	07/08/2007

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