person
Prof. Tina Marie Burgess, ARNP
Family Nurse Practitioner in Port Orange, Florida
NPI 1962503045

Tina Marie Burgess is a Family Nurse Practitioner based in Daytona Beach, FL and is specialized in Family. Tina Marie Burgess practices in Port Orange, FL and has the professional credentials of ARNP. The NPI Number for Tina Marie Burgess is 1962503045 and holds a License No. ARNP1840402 (Florida).

The current practice location address for Tina Marie Burgess is 790 Dunlawton Ave, Port Orange, FL and can be reached out via phone at 386-760-1877 and via fax at 386-760-2791.

Location: 790 Dunlawton Ave, Port Orange, FL, 32120-9671
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Provider Profile Details
NPI Number
1962503045
Provider Name
Tina Marie Burgess
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
790 Dunlawton Ave, Port Orange, FL, 32120-9671
Phone Number
386-760-1877
Fax Number
386-760-2791
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45360 01 FL MEDICARE GROUP
59-3667262 01 FL TAX ID#
institution
Provider Business Practice Location Address Details
Address
790 Dunlawton Ave
City
State
Zip
32127-9279
Phone Number
386-760-1877
Fax Number
386-760-2791
person
Provider Business Mailing Address Details
Address
790 Dunlawton Ave
City
State
Zip
32127-9279
Phone Number
386-760-1877
Fax Number
386-760-2791
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
ARNP1840402 (Florida)
Definition
Definition to come...
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