Burtch, Gordon D

Burtch, Gordon D is an individual health care provider with primary practice located at 6821 Palisades Park Ct Suite 1, Fort Myers FL 33912-7131. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Burtch, Gordon D can be contacted via phone (239) 936-8555.

Contact Information

Primary practice address
6821 Palisades Park Ct Suite 1 Fort Myers FL 33912-7131
Phone: (239) 936-8555
Fax: (239) 936-5611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0040302 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME0040302 Florida

Profile Details

NPI number 1457344277
LBN Legal business name Burtch, Gordon D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Aug 29th, 2014 - about 12 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 1457344277 NPPES
Other 2012355 AETNA HMO
MEDICAID 062524800 AETNA HMO
Other 4110614 AETNA HMO
Other 020032360 AETNA HMO
Other 15808 AETNA HMO

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