Mr. Timothy K. Burnham PA-C, MPAS
Medical Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Mr. Timothy K Burnham PA-C, MPAS
NPI Number
1346210929
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/25/2006
Specialties
(Taxonomies)Licenses
State
Florida
License Number
FL9102307
Contact
Information
Purpose
Mailing
Location
Address
2080 CHILD ST
2080 CHILD ST
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32214-5005
32214-5005
Country
US
US
Telephone Number
(904) 542-3500
(904) 542-3500
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2007