Provider Information for 1124769591
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CHRISTOPHER A BURKE LHMC, CAP
Sex: Male
NPI: 1124769591
Last Updated: 2022-04-07
Certification Date: 2022-04-07
Certification Date: 2022-04-07
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1124769591 | ||||||||||||||
| Enumeration Date | 2022-04-07 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 7305 SE CRAIG ST HOBE SOUND, FL 33455-6115 United States Phone: 561-386-0009 | Fax: | ||||||||||||||
| Primary Practice Address | 351 S US HIGHWAY 1 JUPITER, FL 33477-5993 United States Phone: 561-386-0009 | Fax: | ||||||||||||||
| Secondary Practice Address(es) | 7305 SE CRAIG ST | ||||||||||||||
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