Mary Brooke Burge M.D.

NPI 1669673679 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1669673679
Gender Female
Enumeration Date 05/29/2007
Last Updated 08/04/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
1611 NW 12TH AVE
MIAMI FL, 33136-1005, US
Phone (305) 585-6973
Fax
Business Location
2840 SHIPPING AVE
MIAMI FL, 33133-4616, US
Phone (305) 812-3447
Fax
Toxanomy
Taxonomy Code 390200000X
License State Florida
License Number TRN10359
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According to our database, Mary Brooke Burge M.D. NPI is 1669673679, taxonomy code is 390200000X and license number is TRN10359, license state is located at Florida. Mary Brooke Burge M.D. physically located at 1611 Nw 12th Ave, Miami FL, 33136-1005. NPI Number Mary Brooke Burge M.D. has the Individual type.

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1669673679 NPI number is provided on an as is basis without warranty of any kind. 1669673679 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Brooke Burge M.D. are for informational purposes only.