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BURNES LYNN FEASTER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
625 6TH AVE S, STE 475, ST PETERSBURG, FL 33701-4662
(727) 895-7907
(727) 821-5994
Mailing address
6006 49TH ST N, SUITE 310, ST PETERSBURG, FL 33709-2148
(727) 490-5040
(727) 490-5045

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME50559
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03903
BCBS
FL
05
046845200
FL
01
134223953
HUMANA
FL
01
17789
STAYWELL
FL
01
244715
AVMED
FL
01
4333778
AETNA
FL
01
591680
UNITED
FL
01
7123728
CIGNA
FL
Enumeration date
02/16/2006
Last updated
06/25/2009
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