Individual
PAMELA R BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5978 POWERS AVE, JACKSONVILLE, FL 32217-2210
(904) 737-8686
(904) 448-5414
Mailing address
5978 POWERS AVE, JACKSONVILLE, FL 32217-2210
(904) 737-8686
(904) 448-5414
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME0048961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME48961
FLORIDA MEDICAL LICENSE
FL
Enumeration date
10/06/2006
Last updated
11/21/2007
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