Individual
DR. LOVELL CARL MARCH BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC, MD, MSN
Contact information
Practice address
260 LOOKOUT PL STE 202, MAITLAND, FL 32751-4485
(407) 537-9450
Mailing address
260 LOOKOUT PL STE 202, MAITLAND, FL 32751-4485
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9532396
FL
208D00000X
General Practice Physician
9532396
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11019026
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
06/07/2023
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