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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BURNT STORE FAMILY MEDICINE P L

Active Organization

BURNT STORE FAMILY MEDICINE P L is a Family Medicine organization located in PUNTA GORDA, Florida. NPI 1164739421 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PUNTA GORDA, FL

Registration Details

NPI Number
1164739421
Provider Type
Organization
NPI Issued
Sep 8, 2010 (15.921444206745 yrs)
Last Updated
Jun 23, 2011
License
ME0072508 (FL)

Practice Information

Address
100 MADRID BLVD
SUITE 513
PUNTA GORDA, FL, 339507968
Browse FL providers · Browse ZIP 33950
Phone
9415050974
Fax
9415058517
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.