Doctor Name: | MICHAEL EUGENE BURTON |
NPI Number: | 1184850018 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME123033 |
Business Practice Address: | 120 International Pkwy Suite 240 Heathrow, FL - 327465031 |
Business Phone Number: | 4073334200 |
Business Fax Number: | 4073332140 |
Mailing Address: | 151 Southhall Ln, Suite 300 MAITLAND |
State: | FL |
Postal Code: | 327517176 |
Phone Number: | 4078752080 |
Fax Number: | 4076503455 |
NPI Enumeration Date: | 06/05/2009 |
NPI Last Update Date: | 06/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | ME123033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |