MR. RYAN N BURRIS


Address: 490 Centre Lake Dr Ne Ste 200, Palm Bay, FL 32907-1189
Phone: 3218214950

MR. RYAN N BURRIS (NPI# 1972060101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972060101
Entity Type Individual
Full Name MR. RYAN N BURRIS
Credential APRN
Practice Address 490 Centre Lake Dr Ne Ste 200
Palm Bay
FL 32907-1189
Mailing Address 4032 Greenwood Dr
Fort Pierce
FL 34982-6151
Practice Telephone 3218214950
Practice Fax Number 3218214955
Mailing Telephone 3214367910
Enumeration Date 2019-02-25
Last Update Date 2020-06-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
F12180515 FL Physician Assistants & Advanced Practice Nursing Providers

Other Providers RYAN BURRIS

NPI Name Taxonomy Address Enumeration
1710305826 Ryan Jonathan William Burris Internal Medicine 5841 S. Maryland Ave, Mail Code: 6080, Chicago, IL 60637-1443 2014-04-04

Office Location

Street Address 490 CENTRE LAKE DR NE STE 200
City PALM BAY
State FL
Zip Code 32907-1189

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053594366 Melinda Ann Cobb Physician Assistant 490 Centre Lake Dr Ne Ste 200, Palm Bay, FL 32907-1189 2007-12-10
1568707412 Sherri Enders Nurse Practitioner 490 Centre Lake Dr Ne Ste 200, Palm Bay, FL 32907-1189 2012-12-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861015109 Tyreak Albert Mclarty Behavior Technician 2180 Julian Ave Nw, Palm Bay, FL 32907 2020-05-21
1871073759 Jessica Elizabeth Ford Physical Therapist 470 Malabar Rd Se Unit 102, Palm Bay, FL 32907 2018-08-20
1598264558 Corey Williams Case Management 1850 Delki St. Nw, Palm Bay, FL 32907 2018-02-06
1386154904 Lauren Nicole Meek Social Worker 550 Malabar Rd Sw Apt 202, Palm Bay, FL 32907 2017-10-10
1679002877 Kandice Monique Hearns Physical Therapy Assistant 175 Ne Villa Nueva Ave, Palm Bay, FL 32907 2017-06-09
1780113076 Caring Manor LLC Assisted Living Facility 1863 Edith St Ne, Palm Bay, FL 32907 2017-06-08
1467992107 Enrique Martinez Counselor 1510 Studley Dr. Nw, Palm Bay, FL 32907 2017-02-28
1144776469 Stephanie Ann Hoenig Physical Therapy Assistant 1155 Malabar Rd Se, Palm Bay, FL 32907 2016-08-28
1124471529 K & S Tender Care 11 Assisted Living Facility 226 Abalone Road Ne, Palm Bay, FL 32907 2016-07-20
1235507781 Jai Ho LLC Specialist 1663 Georgia Street, Suite 400, Palm Bay, FL 32907 2015-09-14
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1780284596 Corrective Spinal Care Inc Nurse Practitioner 6965 Piazza Grande Ave Ste 207, Orlando, FL 32835-8780 2020-10-30
1023617420 John Bertram Garrett Iv Nurse Practitioner 5079 Garrett Rd, Malone, FL 32445-3409 2020-10-19
1518565894 Karen Giselle Reyes Nurse Practitioner 4563 Perth Rd, West Palm Beach, FL 33415-2811 2020-10-09
1265039424 Catherine Dettelbach Lake Nurse Practitioner 3411 Shenandoah Dr W, Orange Park, FL 32073-6631 2020-10-01
1417562877 Victoria Ann Jacobs Nurse Practitioner 3605 Lithia Ridge Blvd, Valrico, FL 33596-6482 2020-09-12
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1649881434 Dr Jose A Rivera LLC Nurse Practitioner 110 W Citrus St, Altamonte Springs, FL 32714-2502 2020-08-14
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Competitor

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City PALM BAY
Zip Code 32907

Improve Information

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Dataset Information

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.

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