Individual
RYAN J BURRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10000 BAY PINES BLVD, BUILDING 107, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
10000 BAY PINES BLVD, BUILDING 107, BAY PINES, FL 33744-8200
(727) 398-6661
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
242178
NY
2085R0001X
Radiation Oncology Physician
Primary
ME109831
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003543300
—
FL
01
—
14CT7
BCBS
FL
01
—
350681
AVMED
FL
Enumeration date
05/23/2008
Last updated
11/27/2015
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