Individual provider · Type 1 NPI

Timothy K. Burnham, PA-C, MPAS

Medical Physician Assistant · Jacksonville, FL

NPI number 1346210929 Active

Practice location

2080 Child St
Jacksonville, FL 32214-5005

Fax (904) 542-0007

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XFL9102307 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1346210929

Timothy K. Burnham, PA-C, MPAS's National Provider Identifier is 1346210929, issued on Jan 25, 2006. 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 13, 2026.