Doctor Name: | DAVID BURNS |
NPI Number: | 1003894544 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 400 Celebration Pl Suite A350 Celebration, FL - 347474970 |
Business Phone Number: | 4073034902 |
Business Fax Number: | 4073034909 |
Mailing Address: | 400 Celebration Pl, Suite A350 CELEBRATION |
State: | FL |
Postal Code: | 347474970 |
Phone Number: | 4073034902 |
Fax Number: | 4073034909 |
NPI Enumeration Date: | 01/05/2006 |
NPI Last Update Date: | 09/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |