Individual
BARBARA B. BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
516 VENEZIA PKWY, VENICE, FL 34285
(941) 237-0222
(208) 330-2458
Mailing address
5867 BENEVENTO DR, SARASOTA, FL 34238-2879
(859) 608-3300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9108555
FL
363AM0700X
Medical Physician Assistant
PA9108555
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36000818
MEDICAID GROUP ASC
KY
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
95004297
—
KY
01
—
970017966
RAILROAD MEDICARE PIN
KY
01
—
ASC1019
ASC MEDICARE GROUP
KY
01
—
CB5773
RAILROAD MEDICARE GROUP
KY
Enumeration date
10/05/2006
Last updated
05/10/2019
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