Burgess, Gary R.

Burgess, Gary R. is an individual health care provider with primary practice located at 4621 Emerson St , Jacksonville FL 32207-4920. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Burgess, Gary R. can be contacted via phone (904) 399-8884.

Contact Information

Primary practice address
4621 Emerson St Jacksonville FL 32207-4920
Phone: (904) 399-8884
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9103396 Florida

Profile Details

NPI number 1194942748
LBN Legal business name Burgess, Gary R.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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