Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | A134147 | CA |
Y | 207RH0002X | Hospice and Palliative Medicine | ME133497 | FL |
NPI | 1316280662 |
---|---|
Provider Name | Dr. Molly Petrine Burges |
First Address | Orlando, FL 32812-5842 |
Second Address | Orlando, FL 32806-1110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2013 |
Last Update Date | 03/12/2021 |