MEDICARE: DR. ANNE ELIZABETH BURDICK M.D., M.P.H.

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	174400000X	Specialist	ME65826	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619952207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE ELIZABETH BURDICK M.D., M.P.H.

Provider Business Mailing Address
First Line	:	1600 NW 10TH AVE
Second Line	:	ROOM 2023A (R-250)
City	:	MIAMI
State	:	FL
Zip	:	33136-1015
Country	:	US
Telephone Number	:	305-243-3780
Fax Number	:	305-243-6468

Provider Business Practice Location Address
First Line	:	1444 NW 9TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-1406
Country	:	US
Telephone Number	:	305-243-6704
Fax Number	:	305-243-3503

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

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	02/14/2013

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