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NPI Code Detail

MEDICARE: DR. DAVID NEWLAN BURRY

MEDICARE: DR. DAVID NEWLAN BURRY
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
1152W00000XOptometristOPC 810FL

Other Identifiers

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

General Provider Information

NPI Number : 1750383857
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID NEWLAN BURRY
Provider Business Mailing Address
First Line : 407 AVENUE K SE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-4126
Country : US
Telephone Number : 863-294-3504
Fax Number : 863-294-8305
Provider Business Practice Location Address
First Line : 407 AVENUE K SE
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33880-4126
Country : US
Telephone Number : 863-294-3504
Fax Number : 863-294-8305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 05/17/2026

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Directions to “ DR. DAVID NEWLAN BURRY ” Practice Location

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