Provider Demographics
NPI:1124356084
Name:BURNEY, JOHN MARCEL JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MARCEL JAMES
Last Name:BURNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5827 CORPORATE WAY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2000
Mailing Address - Country:US
Mailing Address - Phone:561-373-0765
Mailing Address - Fax:561-472-9692
Practice Address - Street 1:2402 FRIST BLVD
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4838
Practice Address - Country:US
Practice Address - Phone:772-429-3400
Practice Address - Fax:844-542-4894
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-03
Last Update Date:2023-12-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME115510207V00000X
TX566631207V00000X
ALMD.31888207V00000X
GA068122207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty