Provider Demographics
NPI:1205849890
Name:BURTON, DEBBIE L (ARNP)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:L
Last Name:BURTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:L
Other - Last Name:ROBERTSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:200 AVENUE F NE
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881
Mailing Address - Country:US
Mailing Address - Phone:863-293-1121
Mailing Address - Fax:863-291-6084
Practice Address - Street 1:100 COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-1006
Practice Address - Country:US
Practice Address - Phone:407-875-3700
Practice Address - Fax:407-822-5024
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN1706362363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP1706362OtherLICENSE
FL764370500Medicaid
FLARNP1706362OtherLICENSE