Individual
CONNOR BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2080 MEADOWLAND PARK BLVD, LAKELAND, FL 33803-4326
(863) 701-2470
Mailing address
2080 MEADOWLAND PARK BLVD, LAKELAND, FL 33803-4326
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
OS18828
FL
Other
Enumeration date
04/16/2018
Last updated
09/10/2024
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