Provider Demographics
NPI:1780913301
Name:BURMEISTER, JESSICA MARY (DMS)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:MARY
Last Name:BURMEISTER
Suffix:
Gender:F
Credentials:DMS
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Other - Credentials:
Mailing Address - Street 1:5681 62ND WAY N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33709-1745
Mailing Address - Country:US
Mailing Address - Phone:727-466-8615
Mailing Address - Fax:
Practice Address - Street 1:1590 SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-8106
Practice Address - Country:US
Practice Address - Phone:727-518-2268
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography