Individual
EILEEN MARY BURCHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 4TH AVE E STE 2, BRADENTON, FL 34208-1043
(941) 226-0018
(941) 260-4872
Mailing address
4912 20TH AVE W, BRADENTON, FL 34209-5702
(516) 233-8034
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
38674
MN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
148372
FL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
ME148372
FL
Other
Enumeration date
05/16/2006
Last updated
09/06/2024
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