Individual
DOUGLAS MATTHEW BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13055 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
(813) 741-2473
(813) 672-6197
Mailing address
1151 SHIRE ST, NOKOMIS, FL 34275-1601
(941) 232-1000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME0045186
FL
Other
Enumeration date
12/11/2006
Last updated
05/04/2015
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