Blair T. Burns, PA-C
Physician Assistant in Orlando, FL. Individual provider (NPI-1).
NPI number1124454558
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1124454558
- Entity type
- Individual (NPI-1)
- Name
- Blair T. Burns
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2013
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9108236 | FL | Yes |
| 363A00000X | Physician Assistant | 2460 | TN |
Practice location
89 W Copeland DrOrlando, FL 32806-2002
Phone 321-841-7550 · Fax 321-841-8185
Mailing address
89 W Copeland DrOrlando, FL 32806-2002
Phone 321-841-7550 · Fax 321-841-8185
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