Individual
DR. JEFFREY BLAKE BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 PARK AVE STE 206, ORANGE PARK, FL 32073-5573
(904) 634-0640
(904) 634-0203
Mailing address
6800 SOUTHPOINT PKWY STE 300, JACKSONVILLE, FL 32216-8203
(904) 634-0640
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME116054
FL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
ME 116054
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122471000
—
FL
Enumeration date
02/21/2006
Last updated
07/28/2025
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