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Individual

MR. CLIFFORD J BURKET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
195 S. COURTENAY PARKWAY, MERRITT ISLAND, FL 32952
(321) 453-0090
(321) 454-2512
Mailing address
195 S. COURTENAY PARKWAY, MERRITT ISLAND, FL 32952
(321) 453-0090
(321) 454-2512

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OE1928
FL

Other

Enumeration date
12/23/2009
Last updated
12/23/2009
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