Individual
DR. JOHN M BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1975 OLD MOULTRIE RD, ST AUGUSTINE, FL 32086-5164
(904) 825-0046
(904) 826-1586
Mailing address
1975 OLD MOULTRIE RD, ST AUGUSTINE, FL 32086-5164
(904) 825-0046
(904) 826-1586
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO3029
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340503600
—
FL
01
—
65781V
MEDICARE ID
FL
Enumeration date
05/31/2006
Last updated
10/22/2014
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