Individual
EDWARD M BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0291
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-0291
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
09816
TN
2085R0202X
Diagnostic Radiology Physician
Primary
ME107754
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000117697
—
GA
05
—
002952200
—
FL
05
—
009929010
—
AL
01
—
300118992
RR MCARE-CI
TN
01
—
3152000
ADR BC/BS OF TN
TN
01
—
3152009
PLAZA BC/BS OF TN
TN
05
—
3851311
—
TN
01
—
430059070
RR MCARE-ADR
TN
Enumeration date
07/05/2006
Last updated
10/29/2012
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