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NPI Code Detail

MEDICARE: ELIZABETH ANN BURNS

MEDICARE: ELIZABETH ANN BURNS
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
1222Q00000XDevelopmental Therapist

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 : 1932496304
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANN BURNS
Provider Business Mailing Address
First Line : 447 BELLA VIDA BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32828-6717
Country : US
Telephone Number : 321-961-3489
Fax Number : 407-641-8633
Provider Business Practice Location Address
First Line : 447 BELLA VIDA BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32828-6717
Country : US
Telephone Number : 321-961-3489
Fax Number : 407-641-8633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2011
Last Update Date : 04/22/2022

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Directions to “ ELIZABETH ANN BURNS ” Practice Location

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