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1962503045
TINA MARIE BURGESS
PORT ORANGE, FL
NPI
1962503045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP1840402)
Enumeration Date
2006-09-25
Last Update Date
2017-04-05
Business Address
Prof. TINA MARIE BURGESS ARNP
790 DUNLAWTON AVE SUITE E
PORT ORANGE, FL 32127-9279
Phone number: 386-760-1877
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Mailing Address
Prof. TINA MARIE BURGESS ARNP
PO BOX 9671
DAYTONA BEACH, FL 32120-9671
Phone number: 386-676-7130
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