Individual
MR. RYAN N BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
490 CENTRE LAKE DR NE STE 200, PALM BAY, FL 32907-1189
(321) 821-4950
(321) 821-4955
Mailing address
4032 GREENWOOD DR, FORT PIERCE, FL 34982-6151
(321) 436-7910
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F12180515
FL
Other
Enumeration date
02/25/2019
Last updated
06/01/2020
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