# MR. BRUCE L BURDINE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891275855
- **Gender:** Man
- **Credential:** CAA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367H00000X | Anesthesiologist Assistant | 10794 | GA | Yes |
| 367H00000X | Anesthesiologist Assistant | 75000134A | IN | — |
| 367H00000X | Anesthesiologist Assistant | AA463 | FL | — |

## Other

- **Enumeration date:** 08/20/2018
- **Last updated:** 08/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 101067800 | — | FL |