MS. JACKIE BURGESS


Address: 20230 Estero Gardens Cir, Unit 206, Estero, FL 33928-3457
Phone: 2396998718

MS. JACKIE BURGESS (NPI# 1326415951) 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) 1326415951
Entity Type Individual
Full Name MS. JACKIE BURGESS
Credential L.M.
Practice Address 20230 Estero Gardens Cir
Unit 206
Estero
FL 33928-3457
Practice Telephone 2396998718
Practice Fax Number 2393021352
Mailing Telephone 2396998718
Mailing Fax Number 2393021352
Enumeration Date 2015-08-31
Last Update Date 2015-08-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VX0000X Obstetrics & Gynecology
Specialization: Obstetrics
MW304 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 20230 ESTERO GARDENS CIR
UNIT 206
City ESTERO
State FL
Zip Code 33928-3457

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1578055588 Jeremiah S Mossman Nurse Anesthetist, Certified Registered 21586 Belvedere Ln, Estero, FL 33928 2018-06-05
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1861994204 Kin Med, Pa General Practice 19910 S Tamiami Trail Ste C, Estero, FL 33928 2018-03-01
1073031225 Dieu Huyen Thi Le Pharmacist 20311 Grande Oak Blvd, Estero, FL 33928 2017-09-07
1295284008 National Vision, Inc. Technician/Technologist 22907 Lyden Dr, Estero, FL 33928 2016-09-22
1275982654 Eileen Cherbini Counselor 13616 Canola Ct, Estero, FL 33928 2016-06-07
1952759342 Alexander Conrad Counselor 8010 Sardinia Way Unit #221, Estero, FL 33928 2016-05-26
1154700466 Estero Eyecare Clinic/Center 21753 Brixham Run Loop, Estero, FL 33928 2015-05-20
1982082335 Gulfshore Pediatric Dentistry, P.a. Dentist 9921 Corkscrew Rd, Estero, FL 33928 2015-05-18
1942697149 Conor William Byrt Emergency Medicine 21731 Sound Way, 102, Estero, FL 33928 2015-04-25
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Taxonomy Information

Taxonomy Code 207VX0000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Obstetrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316593015 Iriabeth Joanna Ring Obstetrics & Gynecology 1207 Osprey Nest Cir, Groveland, FL 34736-2219 2019-08-18
1629483722 Sunshine Obstetric Specialists, M.d., P.a. Obstetrics & Gynecology 7421 Conroy Windermere Rd, Orlando, FL 32835-2758 2014-06-26
1558775650 Angela Guzman Obstetrics & Gynecology 1116 Lucerne Terrace, Orlando, FL 32806 2014-06-17
1225468085 Marsha Lachaud Obstetrics & Gynecology 3627 University Blvd S Ste 200, Jacksonville, FL 32216-4256 2013-11-14
1992148035 Laura R Peter Obstetrics & Gynecology 1577 Roberts Dr Ste 323, Jacksonville Beach, FL 32250-3266 2013-04-08
1336436815 Felix Andarsio, D.o.,p.a. Obstetrics & Gynecology 1397 Medical Park Blvd Ste 440, Wellington, FL 33414-3188 2011-07-05
1093028938 Carlos Alberto Rodriguez Obstetrics & Gynecology 925 Ne 30th Ter Ste 304, Homestead, FL 33033-7614 2010-07-21
1689994964 Michelle Ranes Obstetrics & Gynecology 1401 Lucerne Ter, 2nd Floor Mp 818, Orlando, FL 32806-2014 2010-06-09
1336464619 Lake County Preferred Obgyn, Inc. Obstetrics & Gynecology 2766 Dora Ave, Tavares, FL 32778-4970 2010-03-30
1134368913 Womens Care Florida LLP Obstetrics & Gynecology 7560 Red Bug Road, # 1014, Oviedo, FL 32765 2009-02-18
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Competitor

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City ESTERO
Zip Code 33928

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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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