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

CONNOR BURNSIDE, DO

Active

CONNOR BURNSIDE, DO is a Geriatric Psychiatry healthcare provider located in LAKELAND, Florida. NPI 1922595990 is currently active in the NPPES registry. Verify at CMS.

Geriatric Psychiatry · LAKELAND, FL

Registration Details

NPI Number
1922595990
Provider Type
Individual
Gender
Male
NPI Issued
Apr 16, 2018 (8.3482484199961 yrs)
Last Updated
Sep 10, 2024
License
OS18828 (FL)

Practice Information

Address
2080 MEADOWLAND PARK BLVD
LAKELAND, FL, 338034326
Browse FL providers · Browse ZIP 33803
Phone
8637012470
Primary Specialty
Geriatric Psychiatry
2084P0805X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.