Provider Demographics
NPI:1972705739
Name:BURROWS, JAMIE PATRICIA (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:PATRICIA
Last Name:BURROWS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 W MILLER ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-2031
Mailing Address - Country:US
Mailing Address - Phone:321-842-3775
Mailing Address - Fax:407-648-9879
Practice Address - Street 1:255 FORTENBERRY RD
Practice Address - Street 2:SUITE A-1
Practice Address - City:MERRITT ISLAND
Practice Address - State:FL
Practice Address - Zip Code:32952-3601
Practice Address - Country:US
Practice Address - Phone:321-459-1192
Practice Address - Fax:321-459-2304
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102201840207V00000X
FLOS12014207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200579000AMedicaid
MO1972705739Medicaid
FL207V00000YOtherTAXONOMY
FLOS12014OtherFL MEDICAL LICENSE
KS200579000BMedicaid
MOP00677088Medicare PIN
KS200579000BMedicaid
MO1972705739Medicaid