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Organization

GULF COAST PULMONARY AND SLEEP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL W BURKE MD (OWNER)
(941) 792-0611
Entity
Organization

Contact information

Practice address
5857 21ST AVE W STE A, BRADENTON, FL 34209-5641
(941) 792-0611
(941) 792-0086
Mailing address
5857 21ST AVE W STE A, BRADENTON, FL 34209-5641
(941) 792-0611
(941) 792-0086

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
Primary
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Enumeration date
12/19/2018
Last updated
12/19/2018
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