Provider Demographics
NPI:1467437616
Name:BURKLAND, DAVID W (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:W
Last Name:BURKLAND
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1005 MAR WALT DR
Mailing Address - Street 2:ADMINISTRATION
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-6707
Mailing Address - Country:US
Mailing Address - Phone:850-863-8221
Mailing Address - Fax:850-862-7965
Practice Address - Street 1:999 MAR WALT DRIVE
Practice Address - Street 2:WHITE-WILSON EAST BUILDING
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-6707
Practice Address - Country:US
Practice Address - Phone:850-863-8221
Practice Address - Fax:850-862-7965
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2011-05-25
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Provider Licenses
StateLicense IDTaxonomies
FLME15715208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL057010900Medicaid
FL46103OtherBCBSFL
FL057010900Medicaid
FL46103ZMedicare Oscar/Certification