Individual
MR. BRUCE L BURDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-0254
(352) 273-8610
Mailing address
PO BOX 945375, ATLANTA, GA 30394-5375
(516) 945-3000
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
10794
GA
367H00000X
Anesthesiologist Assistant
75000134A
IN
367H00000X
Anesthesiologist Assistant
AA463
FL
367H00000X
Anesthesiologist Assistant
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101067800
—
FL
Enumeration date
08/20/2018
Last updated
08/14/2023
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