Individual
DR. BURTON ERSOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4884 S KIRKMAN RD, ORLANDO, FL 32811-3641
(407) 298-8819
Mailing address
4884 S KIRKMAN RD, ORLANDO, FL 32811-3641
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
000947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20242
PIN
FL
Enumeration date
01/28/2007
Last updated
07/08/2007
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