Individual
TROY BURBANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1830 N MAIN ST, BELL, FL 32619-4713
(352) 463-1100
Mailing address
2820 GEORGE WHEELER RD, LAKELAND, FL 33810-0630
(863) 397-3220
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9113966
FL
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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