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Individual

DR. FREDERICK J. BURFORD II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
13774 PLANTATION RD STE 100, FORT MYERS, FL 33912-4461
(239) 236-7777
(239) 245-7028
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS0005829
FL
207Q00000X
Family Medicine Physician
Primary
OS5829
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
80321
FL BC
FL
Enumeration date
08/24/2006
Last updated
04/01/2024
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