Provider Demographics
NPI:1427012129
Name:BARRATT, DIANA M (MD, MPH, FAAN)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:M
Last Name:BARRATT
Suffix:
Gender:F
Credentials:MD, MPH, FAAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5550 GLADES ROAD
Mailing Address - Street 2:SUITE 515
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7205
Mailing Address - Country:US
Mailing Address - Phone:561-300-4178
Mailing Address - Fax:
Practice Address - Street 1:5550 GLADES ROAD
Practice Address - Street 2:SUITE 515
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-2304
Practice Address - Country:US
Practice Address - Phone:561-300-4178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME944482084N0400X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL100893200Medicaid