Fred J Burford, II DO, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS5829 Issued in FL

Legal business name

FRED J BURFORD, II DO, PA

Practice address

6120 Winker Rd
Suite H
Fort Myers, FL 33919

Phone

(239) 337-9422

Fax

(239) 337-9421

NPI assigned

Sep 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiffany A Cumbess

Title

Office Manager

Phone

(239) 337-9422

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1700988813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 07267",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339190267",
            "telephone_number": "239-337-9422",
            "fax_number": "239-337-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 WINKER RD",
            "address_2": "SUITE H",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33919",
            "telephone_number": "239-337-9422",
            "fax_number": "239-337-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED J BURFORD, II DO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "CUMBESS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "239-337-9422"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Freedom Dental of Fort Myers PA
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• Family Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.