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NPI Profile for CLIFFORD J BURKET in MERRITT ISLAND, FL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI # | 1366771206 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/23/2009 | |
| Last updated | 12/23/2009 - About 16 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CLIFFORD J BURKET
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CLIFFORD J BURKET