Organization
DERMATOLOGY ENID F BURNETT INC
Active
Organization
DERMATOLOGY ENID F BURNETT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENID F BURNETT MD (DOCTOR)
(386) 253-2070
Entity
Organization
Contact information
Practice address
339A BILL FRANCE BLVD, DAYTONA BEACH, FL 32114-1301
(386) 253-2216
Mailing address
339A BILL FRANCE BLVD, DAYTONA BEACH, FL 32114-1301
(386) 253-2216
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
ME0072841
FL
Other
Enumeration date
03/05/2008
Last updated
07/03/2008
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