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Individual

MS. JANET GAY BURNSIDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
18167 US HIGHWAY 19 N, SUITE 650, CLEARWATER, FL 33764-3528
(727) 437-3530
(727) 498-1159
Mailing address
9818 W PARK VILLAGE DR, TAMPA, FL 33626-5139
(813) 476-4637
(813) 792-5369

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP923043
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1235126921
RAILROAD MEDICARE PART B GROUP NPI
MO
01
1346225174
RAILROAD MEDICARE PART B GROUP MEMBER NPI
MO
01
DG0204
RAILROAD MEDICARE PART B GROUP PTAN
MO
01
P00620222
RAILROAD MEDICARE PART B GROUP MEMBER PTAN
MO
Enumeration date
12/14/2005
Last updated
11/08/2016
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