Provider Demographics
NPI:1093957854
Name:BURAK, BARRY NORMAN (DC)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:NORMAN
Last Name:BURAK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 SW 67TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7702
Mailing Address - Country:US
Mailing Address - Phone:305-666-8883
Mailing Address - Fax:
Practice Address - Street 1:8000 SW 67TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-7702
Practice Address - Country:US
Practice Address - Phone:305-666-8883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-25
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH3085111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88329YOtherMEDICARE PROVIDER #