Individual
JON NEWTON BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1139 NIKKI VIEW DR, BRANDON, FL 33511-4879
(813) 879-8045
(813) 685-2477
Mailing address
10002 PRINCESS PALM AVE STE 332, TAMPA, FL 33619-8327
(813) 571-7184
(813) 654-4695
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME115979
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009165200
—
FL
01
—
14R38
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/15/2007
Last updated
04/23/2019
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