Omer Lee Burnett in Jacksonville - Diagnostic Radiology
Omer Lee Burnett - NPI 1477544559
Omer Lee Burnett is a Diagnostic Radiology in Jacksonville, Florida. Omer Lee Burnett practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Omer Lee Burnett is 1477544559. The last update date is 2007-07-08.
Omer Lee Burnett's current location address is 4500 San Pablo Rd S, Jacksonville, Florida. You can contact this provider via phone number 9049532000. The mailing address for Omer Lee Burnett is 4500 San Pablo Rd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Omer Lee Burnett |
|---|---|
| Address | 4500 San Pablo Rd S, Jacksonville, Florida |
| Phone Number | 9049532000 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1477544559 |
|---|---|
| Provider Enumeration Date | 2005-10-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4500 San Pablo Rd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322241865 |
| Phone Number | 9049532000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | ME59874 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12314 | FL | BLUECROSS/BLUESHIELD |
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What is the Omer Lee Burnett's unique identification number?
The Omer Lee Burnett has been assigned the NPI (National Provider Identifier) Number 1477544559 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Omer Lee Burnett's facilities are situated?
The facilities of Omer Lee Burnett are physically located at the following address: 4500 San Pablo Rd S, Jacksonville, FL, 322241865.
What is Omer Lee Burnett's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Omer Lee Burnett's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
On what date did the Omer Lee Burnett receive its 1477544559 assignment from the Centers for Medicare & Medicaid Services?
The Omer Lee Burnett was assigned its 1477544559 by the Centers for Medicare & Medicaid Services on 2005-10-29.
As of what date were the Omer Lee Burnett's details last updated?
The information pertaining to the Omer Lee Burnett, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY