Burk, Ronald

Burk, Ronald is an individual health care provider with primary practice located at 1099 Florida Ave S , Rockledge FL 32955-2138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Burk, Ronald can be contacted via phone (321) 632-6900.

Contact Information

Primary practice address
1099 Florida Ave S Rockledge FL 32955-2138
Phone: (321) 632-6900
Fax: (321) 639-7222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X ME19766 Florida

Profile Details

NPI number 1528040136
LBN Legal business name Burk, Ronald
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Feb 25th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528040136 NPPES
Florida MEDICAID 036995100

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