Male or Other

Edward M. Burton MD

Diagnostic Radiology Physician in Gainesville, FL(View on Map)

Full Name

Edward M Burton MD

NPI Number

1093746760

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/05/2006

Specialties

(Taxonomies)

Code

2085R0202X

Primary Taxonomy

Yes

Licenses

State

Florida
Tennessee

License Number

ME107754
09816

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 918025
1600 SW ARCHER RD

City

Orlando
Gainesville

State

FL
FL

Postal Code

32891-8025
32610-3003

Country

US
US

Telephone Number

(352) 265-0291
(352) 265-0291

Identifiers

Identifier

3152009
009929010
3851311
300118992
3152000
000117697
430059070
002952200

Identifier State

TN
AL
TN
TN
TN
GA
TN
FL

Identifier Issuer

PLAZA BC/BS OF TN
Unknown
Unknown
RR MCARE-CI
ADR BC/BS OF TN
Unknown
RR MCARE-ADR
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/29/2012

Provider Address

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