Individual
DR. BRADD GREGORY BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 W CRYSTAL LAKE ST, SUITE 200, ORLANDO, FL 32806-4475
(407) 254-2500
Mailing address
25 W CRYSTAL LAKE ST, SUITE 200, ORLANDO, FL 32806-4475
(407) 254-2500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME 91214
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
200800519
NC
Other
Enumeration date
09/13/2006
Last updated
06/14/2012
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