Provider Demographics
NPI:1710041629
Name:JOHN H BURGER JR MD PA
Entity Type:Organization
Organization Name:JOHN H BURGER JR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:GERHARDSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-531-7774
Mailing Address - Street 1:4302 ALTON RD
Mailing Address - Street 2:STE 960 MSOP
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2891
Mailing Address - Country:US
Mailing Address - Phone:305-531-7774
Mailing Address - Fax:305-531-8982
Practice Address - Street 1:4302 ALTON RD
Practice Address - Street 2:STE 960 MSOP
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2891
Practice Address - Country:US
Practice Address - Phone:305-531-7774
Practice Address - Fax:305-531-8982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1014042163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE3633AMedicare ID - Type UnspecifiedARNP
FL40666Medicare ID - Type UnspecifiedGROUP