PROF. TINA MARIE BURGESS (NPI# 1962503045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962503045 |
| Entity Type | Individual |
| Full Name | PROF. TINA MARIE BURGESS |
| Credential | ARNP |
| Practice Address |
790 Dunlawton Ave Suite E Port Orange FL 32127-9279 |
| Mailing Address |
Po Box 9671 Daytona Beach FL 32120-9671 |
| Practice Telephone | 3867601877 |
| Practice Fax Number | 3867602791 |
| Mailing Telephone | 3866767130 |
| Mailing Fax Number | 3866767125 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2017-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP1840402 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE GROUP | 45360 | 01 |
| FL | TAX ID# | 59-3667262 | 01 |
| Street Address |
790 DUNLAWTON AVE SUITE E |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127-9279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061767 | Dunlawton Family Medicine Plc | Clinic/Center | 790 Dunlawton Ave, Suite E, Port Orange, FL 32127-4222 | 2005-08-24 |
| 1063832418 | Karen James | Hearing Instrument Specialist | 790 Dunlawton Ave, Suite B, Port Orange, FL 32127 | 2014-04-24 |
| 1558798405 | Northeast Florida Psychiatric Association, Inc | Psychiatry & Neurology | 790 Dunlawton Ave, Suite J, Port Orange, FL 32127-4222 | 2013-10-07 |
| 1356694665 | Connect Hearing, Inc. | Audiologist | 790 Dunlawton Ave, Suite B, Port Orange, FL 32127-9279 | 2012-10-24 |
| 1366752552 | Joanne D Saxour Md | Family Medicine | 790 Dunlawton Ave, Suite G, Port Orange, FL 32127-4222 | 2010-10-21 |
| 1659547214 | Realear, Inc. | Hearing Aid Equipment | 790 Dunlawton Ave, Suite B, Port Orange, FL 32127-9279 | 2008-05-05 |
| 1881872877 | Prc Associates, Lc | Specialist | 790 Dunlawton Ave, Suite D, Port Orange, FL 32127-9279 | 2008-02-01 |
| 1730394263 | Harvinder S Chadda, B.d.s.,p.a. | Clinic/Center | 790 Dunlawton Ave, Suite F, Port Orange, FL 32127-9279 | 2007-05-10 |
| 1396812939 | Harvinder S Chadda | Dentist | 790 Dunlawton Ave, Suite F, Port Orange, FL 32127 | 2006-11-29 |
| 1124129259 | George Thomas Bernardo | Family Medicine | 790 Dunlawton Ave, Suite E, Port Orange, FL 32127-9279 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063025054 | Jessica Kate Hamilton | Nurse Practitioner | 3873 Long Grove Ln, Port Orange, FL 32129-8634 | 2020-08-28 |
| 1053929190 | Jay William Butwinick | Nurse Practitioner | 5357 Coquina Shores Ln, Port Orange, FL 32128-3011 | 2020-07-15 |
| 1275168999 | Robert Mathis | Nurse Practitioner | 930 Bentwood Ln, Port Orange, FL 32127-4814 | 2020-03-04 |
| 1417595646 | Kimberly Clough | Nurse Practitioner | 6147 Half Moon Dr, Port Orange, FL 32127-1128 | 2019-12-18 |
| 1104391465 | Jessica Kailee White | Nurse Practitioner | 5331 Cordgrass Bend Ln, Port Orange, FL 32128-3000 | 2018-10-12 |
| 1548745060 | Arsheema Abdurahman | Nurse Practitioner | 1690 Dunlawton Ave Ste 220, Port Orange, FL 32127-8980 | 2018-10-01 |
| 1366922882 | Stacey L Shaw | Nurse Practitioner | 1690 Dunlawton Ave Ste 230, Port Orange, FL 32127-8980 | 2018-08-14 |
| 1225516461 | Jessica Cole | Nurse Practitioner | 5400 S Williamson Blvd Apt 4-106, Port Orange, FL 32128-6540 | 2018-07-31 |
| 1457892226 | Jeannetta Ann Brooks | Nurse Practitioner | 3641 Clyde Morris Blvd Ste 400, Port Orange, FL 32129-2357 | 2017-03-13 |
| 1326159500 | Priscilla Clara Miller | Nurse Practitioner | 7800 Woodbriar Trail, Port Orange, FL 32129 | 2006-08-31 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
Please comment or provide details below to improve the information on PROF. TINA MARIE BURGESS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.