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NPI Code Detail

MEDICARE: STEVEN MICHAEL BURTNER APRN

MEDICARE: STEVEN MICHAEL BURTNER 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
1363L00000XNurse PractitionerAPRN9279507FL
2363LA2100XAcute Care Nurse PractitionerARNP9279507FL

Other Identifiers

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

General Provider Information

NPI Number : 1801205588
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN MICHAEL BURTNER APRN
Provider Business Mailing Address
First Line : 1443 SAN MARCO BLVD STE 101
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8535
Country : US
Telephone Number : 904-253-6910
Fax Number : 904-253-6964
Provider Business Practice Location Address
First Line : 1443 SAN MARCO BLVD STE 101
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8535
Country : US
Telephone Number : 904-253-6910
Fax Number : 904-253-6964
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2014
Last Update Date : 03/09/2026

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1790042513 — DR. EDDY JOSE GUTIERREZ MD
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Directions to “ STEVEN MICHAEL BURTNER APRN” Practice Location

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