Provider Demographics
NPI:1639220064
Name:BURACK, STEVEN ADAM (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ADAM
Last Name:BURACK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22272 HOLLYHOCK TRL
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-4866
Mailing Address - Country:US
Mailing Address - Phone:561-859-3062
Mailing Address - Fax:
Practice Address - Street 1:7252 SAN SEBASTIAN DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-1051
Practice Address - Country:US
Practice Address - Phone:561-859-3062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS9851208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL06809OtherBCBS
FL003959401Medicaid
FLAC 346QMedicare PIN
FLAC 346 TMedicare PIN
FLAC 346PMedicare PIN