Richard Burgess

NPI #1003288754 in Fort Myers, Florida

Provider Information

NPI Number: 1003288754
Entity Type: Individual
Name: Richard Burgess
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Oct 21, 2015
Last Updated: Oct 29, 2021

Practice Location

Address: 3840 COLONIAL BLVD STE 1
City: Fort Myers
State: Florida
ZIP Code: 33966-1126
Phone: (855) 778-6262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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