Provider Demographics
NPI:1831197631
Name:BURGER, JOHN HUTCHFIELD JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HUTCHFIELD
Last Name:BURGER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6538 COLLINS AVE
Mailing Address - Street 2:# 510
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4694
Mailing Address - Country:US
Mailing Address - Phone:305-553-1777
Mailing Address - Fax:305-531-8982
Practice Address - Street 1:6538 COLLINS AVE
Practice Address - Street 2:# 510
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33141-4694
Practice Address - Country:US
Practice Address - Phone:305-553-1777
Practice Address - Fax:305-531-8982
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-14
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 446372084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD62274Medicare UPIN
FL34033Medicare ID - Type UnspecifiedPROVIDER ID