MEDICARE: DONALD BURDINE APRN

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	363LF0000X	Family Nurse Practitioner	APRN9348251	FL
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN9348251	FL

General Provider Information

NPI Number	:	1568875508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD BURDINE APRN

Provider Business Mailing Address
First Line	:	PO BOX 196
Second Line	:
City	:	WINDERMERE
State	:	FL
Zip	:	34786-0196
Country	:	US
Telephone Number	:	407-590-1870
Fax Number	:

Provider Business Practice Location Address
First Line	:	7635 ASHLEY PARK CT STE 503N
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-6197
Country	:	US
Telephone Number	:	407-590-1870
Fax Number	:

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

Provider Enumeration Date	:	06/07/2014
Last Update Date	:	09/05/2025

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