Individual
CLINTON BURKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1150 N 35TH AVE STE 300, HOLLYWOOD, FL 33021
(954) 265-1490
(954) 989-0454
Mailing address
2900 CORPORATE WAY, DOOR D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME108371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004513100
—
FL
Enumeration date
07/12/2007
Last updated
03/18/2021
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