Individual
HALI PAIGE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
509 SE RIVERSIDE DR STE 303, STUART, FL 34994-2579
(772) 283-9111
(772) 283-2955
Mailing address
PO BOX 417, STUART, FL 34995-0417
(772) 223-5665
(772) 223-5646
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9106030
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004254700
—
FL
01
—
Y08ZB
FLORIDA BLUE
FL
Enumeration date
07/19/2011
Last updated
10/13/2020
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