Individual
DR. JEFFREY SCOTT BURDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11215 METRO PKWY STE 100, FORT MYERS, FL 33966-1206
(239) 208-2206
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-6333
(845) 333-7342
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2024042837
MO
2084P0800X
Psychiatry Physician
Primary
OS20558
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2019
Last updated
01/02/2025
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