Organization
JOLITA C BURNS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOLITA C BURNS MD (PRESIDENT)
(850) 656-0302
Entity
Organization
Contact information
Practice address
1885 PROFESSIONAL PARK CIR, SUITE 10, TALLAHASSEE, FL 32308-4572
(850) 656-0302
(850) 656-6110
Mailing address
1885 PROFESSIONAL PARK CIR, SUITE 10, TALLAHASSEE, FL 32308-4572
(850) 656-0302
(850) 656-6110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME88050
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340397100
—
FL
01
—
81058
BLUE CROSS BLUE SHIELD
FL
Enumeration date
11/08/2006
Last updated
02/16/2012
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