| Doctor Name: | DR. GRADY L BURLESON |
| NPI Number: | 1346208840 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME91868 |
| Business Practice Address: | 1000 Mar Walt Dr Fort Walton Beach, FL - 325476708 |
| Business Phone Number: | 8508637607 |
| Business Fax Number: | |
| Mailing Address: | 228 Yacht Club Dr Ne, FORT WALTON BEACH |
| State: | FL |
| Postal Code: | 325486422 |
| Phone Number: | 9045212555 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2006 |
| NPI Last Update Date: | 04/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207P00000X |
| License Number: | ME91868 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Emergency Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |