Organization
SOUTHEAST GYNECOLOGICAL SPECIALTY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA B BURKE (MCC)
(954) 974-5190
Entity
Organization
Contact information
Practice address
2964 N STATE ROAD 7, SUITE 100, MARGATE, FL 33063-5755
(954) 974-5190
(954) 974-0743
Mailing address
2964 N STATE ROAD 7, SUITE 100, MARGATE, FL 33063-5755
(954) 974-5190
(954) 974-0743
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
11/30/2010
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