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Individual

DR. ROBERT W. BURK III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
209 PONTE VEDRA PARK DR, PONTE VEDRA BEACH, FL 32082-6600
(904) 273-6200
(904) 280-8013
Mailing address
209 PONTE VEDRA PARK DR, PONTE VEDRA BEACH, FL 32082-6600
(904) 273-6200
(904) 280-8013

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME57422
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
377927100
FL
Enumeration date
08/23/2006
Last updated
05/01/2015
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