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Individual

DR. BURL R. BURGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2576 S VOLUSIA AVE, ORANGE CITY, FL 32763-9120
(386) 774-6000
(386) 774-6971
Mailing address
2576 S VOLUSIA AVE, ORANGE CITY, FL 32763-9120
(386) 774-6000
(386) 774-6971

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC944
FL

Other

Enumeration date
05/06/2007
Last updated
11/08/2007
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