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Individual

DEXTER ALLEN BURNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9108794
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015561700
FL
01
SC6FD
BCBS
FL
Enumeration date
07/16/2015
Last updated
11/17/2025
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