# FRED J BURFORD, II DO, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700988813
- **Authorized official:** TIFFANY A CUMBESS (OFFICE MANAGER)
- **Authorized official phone:** (239) 337-9422

## Contact information

- **Practice address:** 6120 WINKER RD, SUITE H, FORT MYERS, FL 33919
- **Practice address phone:** (239) 337-9422
- **Practice address fax:** (239) 337-9421
- **Mailing address:** P.O. BOX 07267, FORT MYERS, FL 33919-0267
- **Mailing address phone:** (239) 337-9422
- **Mailing address fax:** (239) 337-9421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS5829 | FL | Yes |

## Other

- **Enumeration date:** 09/01/2006
- **Last updated:** 03/19/2010