Provider Demographics
NPI:1407150923
Name:BARBEE, GARY PAT (AP)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:PAT
Last Name:BARBEE
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 NE 118TH ST
Mailing Address - Street 2:
Mailing Address - City:BISCAYNE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33161-6229
Mailing Address - Country:US
Mailing Address - Phone:786-423-0362
Mailing Address - Fax:
Practice Address - Street 1:515 NE 118TH ST
Practice Address - Street 2:
Practice Address - City:BISCAYNE PARK
Practice Address - State:FL
Practice Address - Zip Code:33161-6229
Practice Address - Country:US
Practice Address - Phone:786-423-0362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-23
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP573171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist