Individual provider · Type 1 NPI

Gary R. Burgess, PA-C

Medical Physician Assistant · Jacksonville, FL

NPI number 1194942748 Active

Practice location

4621 Emerson St
Jacksonville, FL 32207-4920

Call (904) 399-8884 Map

Mailing address

1895 Sentry Oak Ct
Green Cove Springs, FL 32043-3775

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9103396 (FL)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1194942748

Gary R. Burgess, PA-C's National Provider Identifier is 1194942748, issued on Apr 18, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 8, 2007.