Doctor Name: | AARON BURGESS |
NPI Number: | 1073744942 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | TRN13951 |
Business Practice Address: | 25 W Crystal Lake St Suite 200 Orlando, FL - 328064475 |
Business Phone Number: | 4072542500 |
Business Fax Number: | 4074232789 |
Mailing Address: | 25 W Crystal Lake St, Suite 200 ORLANDO |
State: | FL |
Postal Code: | 328064475 |
Phone Number: | 4072542500 |
Fax Number: | 4074232789 |
NPI Enumeration Date: | 07/27/2009 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TRN13951 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |