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Individual

DR. KEITH CAMERON BURLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
636 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2668
(239) 424-2354
Mailing address
636 DEL PRADO BLVD S, CAPE CORAL, FL 33990-2668

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME 128193
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932468766
WI
Enumeration date
05/14/2012
Last updated
07/06/2021
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