Charles M Burkett (NPI# 1215970231, PAC ID# 0648251918) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1215970231 |
| PAC ID by PECOS | 0648251918 |
| Professional Enrollment ID | I20040525000475 |
| Full Name | Charles M Burkett |
| Organization Legal Name | EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC |
| Address |
1890 Lpga Blvd Suite 110 Daytona Beach FL 32117-7131 |
| Phone Number | 3862747118 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9830175199 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1890 Lpga Blvd, Suite 110, Daytona Beach, FL 32117-7131 | 3862747118 | EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC |
| 2090 Saxon Blvd A, Deltona, FL 32725-3251 | 38627471187704 | EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC |
| 3 Pine Cone Dr, Suite 101, Palm Coast, FL 32137-8684 | 3864465200 | EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC |
| 1195 Dunlawton Ave, Port Orange, FL 32127-4745 | 3862747118 | EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC |
| Organization Legal Name | EAST CENTRAL FLORIDA OUTPATIENT IMAGING, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melvin Stone | Diagnostic Radiology | East Central Florida Outpatient Imaging, LLC | 1890 Lpga Blvd, Suite 110, Daytona Beach, FL 32117-7131 |
| Street Address |
1890 LPGA BLVD SUITE 110 |
| City | DAYTONA BEACH |
| State | FL |
| Zip | 32117-7131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luther St James Iii | Family Medicine | Memorial Health Systems Inc | 1890 Lpga Blvd, Suite 170, Daytona Beach, FL 32117-7131 |
| Evelyn V Santiago Gonzalez | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 1890 Lpga Blvd, Suite 200, Daytona Beach, FL 32117-7138 |
| Joseph Thomas Watson | Podiatry | Atlantic Podiatry Associates Dpm Pa | 1890 Lpga Blvd, Suite 230, Daytona Beach, FL 32117-7131 |
| Patrick Leung | General Practice | Primecare At Twin Lakes LLC | 1890 Lpga Blvd, Suite 130, Daytona Beach, FL 32117-7131 |
| Michael A Fabian | General Surgery | North Florida Surgeons Pa | 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7131 |
| James W. Rust | Podiatry | Atlantic Podiatry Associates Dpm Pa | 1890 Lpga Blvd, Suite 230, Daytona Beach, FL 32117-7131 |
| Andrew W Gamenthaler | General Surgery | North Florida Surgeons Pa | 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7131 |
| Federico C Vinas | Neurosurgery | 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7131 | |
| Daniel Scott Burfield | Nurse Practitioner | North Florida Surgeons Pa | 1890 Lpga Blvd, Suite 250, Daytona Beach, FL 32117-7131 |
| Stephen J Cortez | Obstetrics/gynecology | Schwenker and Stavoy, Md, Pa | 1890 Lpga Blvd, Suite 160, Daytona Beach, FL 32117-7138 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erika Faile | Family Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Richard C Braithwaite | Internal Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Joseph J Zuckerman | Internal Medicine | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| James T Moore | Psychiatry | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Karen Michelle Berkeley | Clinical Social Worker | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Jared Ritter | Psychiatry | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Willis Blower | Clinical Social Worker | Florida Health Care Plan Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Wendy A Myers | Internal Medicine | Florida Health Care Plans Inc | 1340 Ridgewood Ave, Holly Hill, FL 32117-2320 |
| Mary Jo Arciom | Chiropractic | 244 9th St, Holly Hill, FL 32117-3535 | |
| Gabriel F Rizzo | Chiropractic | 701 Ridgewood Ave, Unit B, Holly Hill, FL 32117-3619 | |
| Find all physicians in zip 32117 | |||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | DAYTONA BEACH + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Charles M Burkett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.