NPI 1003288754

Richard Burgess

Practitioner Physician Assistant Fort Myers, FL

Practice location

Address: 3840 Colonial Blvd STE 1, Fort Myers, FL 33966-1126
Phone: (855) 778-6262
Fax: (855) 778-3262

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9109174 (FL)

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Registry record

NPI: 1003288754
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Oct 2015
Record last updated: 29 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.