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NPI Code Detail

MEDICARE: DR. MATTHEW V. BURRY M.D.

MEDICARE:  DR. MATTHEW V. BURRY  M.D.
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
1207T00000XNeurological Surgery PhysicianME81578FL

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 : 1821016817
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW V. BURRY M.D.
Provider Business Mailing Address
First Line : 200 N MANGOUSTINE AVE
Second Line :
City : SANFORD
State : FL
Zip : 32771-1017
Country : US
Telephone Number : 407-833-7505
Fax Number : 407-833-7509
Provider Business Practice Location Address
First Line : 305 N MANGOUSTINE AVE STE 100
Second Line :
City : SANFORD
State : FL
Zip : 32771-1004
Country : US
Telephone Number : 407-833-7505
Fax Number : 407-833-7509
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 01/14/2022

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Directions to “ DR. MATTHEW V. BURRY M.D.” Practice Location

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