Burgoyne, Gregory Brent
Burgoyne, Gregory Brent is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Ste 209 , Daytona Beach FL 32117-5169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Burgoyne, Gregory Brent can be contacted via phone (386) 231-3520.Contact Information
Primary practice address
305 Memorial Medical Pkwy Ste 209
Daytona Beach FL 32117-5169
Phone: (386) 231-3520
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | D0075015 | Maryland |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME138235 | Florida |
Profile Details
| NPI number | 1659534063 |
|---|---|
| LBN Legal business name | Burgoyne, Gregory Brent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2008 |
| Last updated | Feb 3rd, 2020 - about 6 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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