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Individual

MR. TIMOTHY K BURNHAM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PA-C, MPAS

Contact information

Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-3500
(904) 542-0007
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-3500
(904) 542-0007

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
FL9102307
FL

Other

Enumeration date
01/25/2006
Last updated
07/08/2007
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