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1972060101
RYAN N BURRIS
PALM BAY, FL
NPI
1972060101
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: FL F12180515)
Enumeration Date
2019-02-25
Last Update Date
2020-06-01
Business Address
Mr. RYAN N BURRIS APRN
490 CENTRE LAKE DR NE STE 200
PALM BAY, FL 32907-1189
Phone number: 321-821-4950
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Mailing Address
Mr. RYAN N BURRIS APRN
4032 GREENWOOD DR
FORT PIERCE, FL 34982-6151
Phone number: 321-436-7910
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