Doctor Name: | DR. BERNICE MARIE BURKARTH |
NPI Number: | 1194715367 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | ME0075340 |
Business Practice Address: | 1201 Se Indian St Stuart, FL - 349975688 |
Business Phone Number: | 7724034591 |
Business Fax Number: | |
Mailing Address: | 1201 Se Indian St, STUART |
State: | FL |
Postal Code: | 349975688 |
Phone Number: | 7724606407 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2005 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME0075340 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |