Individual
JASON BURGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(727) 433-0195
(727) 456-9980
Mailing address
9701 48TH PL N, ST PETERSBURG, FL 33708-3625
(727) 433-0195
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11003986
FL
Other
Enumeration date
10/08/2019
Last updated
10/05/2022
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