Individual
BLAIR T. BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185
Mailing address
89 W COPELAND DR, ORLANDO, FL 32806-2002
(321) 841-7550
(321) 841-8185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2460
TN
363A00000X
Physician Assistant
Primary
PA9108236
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014112700
—
FL
Enumeration date
09/17/2013
Last updated
07/21/2022
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