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NPI Code Detail

MEDICARE: YUYA BURKHART MD

MEDICARE: YUYA BURKHART 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
1208D00000XGeneral Practice Physician1760046940FL
2207P00000XEmergency Medicine PhysicianME150226FL

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 : 1760046940
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUYA BURKHART MD
Provider Business Mailing Address
First Line : 17 DAVIS BLVD STE 308
Second Line :
City : TAMPA
State : FL
Zip : 33606-3438
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3202 N PARK RD
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-2026
Country : US
Telephone Number : 813-757-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2019
Last Update Date : 01/09/2025

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Directions to “ YUYA BURKHART MD” Practice Location

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