Provider Demographics
NPI:1164463824
Name:BARI, QUAZI AFROZA (MD)
Entity Type:Individual
Prefix:DR
First Name:QUAZI
Middle Name:AFROZA
Last Name:BARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9960 CENTRAL PARK BLVD N
Mailing Address - Street 2:SUITE 450
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1759
Mailing Address - Country:US
Mailing Address - Phone:561-353-1225
Mailing Address - Fax:561-353-1226
Practice Address - Street 1:7291 W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-1305
Practice Address - Country:US
Practice Address - Phone:561-637-4775
Practice Address - Fax:561-637-4518
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME85466207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI05330Medicare UPIN