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Individual

ISAAC BURDEINICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
4850 W OAKLAND PARK BLVD STE 201, LAUDERDALE LAKES, FL 33313-7268
(954) 735-3535
(954) 484-7000
Mailing address
4850 W OAKLAND PARK BLVD STE 201, LAUDERDALE LAKES, FL 33313-7268
(954) 735-3535
(954) 484-7000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9544171
FL
246ZC0007X
Surgical Assistant
ABSA 12-191
FL
363L00000X
Nurse Practitioner
Primary
APRN11020794
FL

Other

Enumeration date
03/23/2013
Last updated
01/30/2023
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