Provider Demographics
NPI:1225462203
Name:MICHAEL GERALD BARILE MD INC.
Entity Type:Organization
Organization Name:MICHAEL GERALD BARILE MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:GERALD
Authorized Official - Last Name:BARILE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-229-9609
Mailing Address - Street 1:24600 S TAMIAMI TRL
Mailing Address - Street 2:SUITE 212-396
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34134-7022
Mailing Address - Country:US
Mailing Address - Phone:239-229-9609
Mailing Address - Fax:
Practice Address - Street 1:15495 TAMIAMI TRL N
Practice Address - Street 2:SUITE 119
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-6206
Practice Address - Country:US
Practice Address - Phone:239-221-3901
Practice Address - Fax:239-221-3614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-27
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME75050207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty