Individual
MS. BRIDGET KELLIE BURKE-WAMMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1235 CONSERVANCY DR E, TALLAHASSEE, FL 32312-6744
(850) 524-6346
(850) 386-5252
Mailing address
1235 CONSERVANCY DR E, TALLAHASSEE, FL 32312-6744
(850) 524-6346
(850) 386-5252
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 18418
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C8161
BCBS
FL
Enumeration date
06/30/2008
Last updated
06/30/2008
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