Individual
DR. STUART KEVIN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 S. PINE ISLAND RD., STE. A100, PLANTATION, FL 33324
(954) 741-5555
(954) 741-6298
Mailing address
PO BOX 31796, TAMPA, FL 33631-3796
(954) 318-7388
(954) 318-7350
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
0072877
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226171
AVMED
FL
01
—
2457349
AETNA
FL
05
—
253381200
—
FL
01
—
41995
BLUE CROSS BLUE SHEILD
FL
01
—
650560968
CIGNA
FL
01
—
P180036348
RAILROAD MEDICARE
FL
Enumeration date
08/12/2005
Last updated
05/06/2021
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