Organization
GLENN E BURLESON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN E. BURLESON M.D. (PRESIDENT)
(850) 444-9511
Entity
Organization
Contact information
Practice address
1717 N E ST, SUITE 532, PENSACOLA, FL 32501-6339
(850) 444-9511
(850) 444-9646
Mailing address
1717 N E ST, SUITE 532, PENSACOLA, FL 32501-6339
(850) 444-9511
(850) 444-9646
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME 95535
FL
Other
Enumeration date
09/06/2007
Last updated
11/28/2007
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