Individual
DR. ANDREW E BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 RIVER HERITAGE BLVD, SUITE 204, BRADENTON, FL 34212-6348
(941) 917-7100
(941) 917-7142
Mailing address
PO BOX 863407, ORLANDO, FL 32886-0001
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME91867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01585
BCBS
FL
05
—
271440000
—
FL
01
—
P00180092
RAIL ROAD MEDICARE
FL
01
—
P00712233
RAIL ROAD MEDICARE
FL
Enumeration date
09/19/2005
Last updated
06/27/2014
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