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Individual

JEREMY J BURKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2351 PHILLIPS RD, TALLAHASSEE, FL 32308-5333
(850) 877-8166
(850) 877-0431
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9117615
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119929500
FL
Enumeration date
01/16/2007
Last updated
06/16/2026
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