Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | ME111430 | FL |
N | 207RP1001X | Pulmonary Disease | ME111430 | FL |
Y | 207RS0012X | Sleep Medicine | ME111430 | FL |
NPI | 1043236557 |
---|---|
Provider Name | Mr. Michael William Burke |
First Address | Bradenton, FL 34209-5641 |
Second Address | Bradenton, FL 34209-5527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 07/01/2022 |