Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Burgundy Prime Inc

Organization Internal Medicine Physician · NPI 1720557150

Burgundy Prime Inc is an Internal Medicine Physician in Lake Mary, Florida. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
7
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

430 Waymont Ct Ste 100
Lake Mary, FL 32746-6745
Phone: (407) 878-0022
Fax: (407) 369-4267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Internal Medicine Physician Taxonomy 207R00000X
Infectious Disease Physician Taxonomy 207RI0200X
Addiction Medicine (Psychiatry & Neurology) Physician Taxonomy 2084A0401X
Obesity Medicine (Psychiatry & Neurology) Physician Taxonomy 2084B0002X
Psychosomatic Medicine Physician Taxonomy 2084P0015X
Sleep Medicine (Psychiatry & Neurology) Physician Taxonomy 2084S0012X

Record details

NPI number1720557150
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Abid Malik — President · (407) 777-8084
NPI enumeratedNovember 14, 2018
Last updated in NPPESNovember 14, 2018
Mailing address430 Waymont Ct Ste 100, Lake Mary, FL 32746-6745

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