Provider Demographics
NPI:1548218845
Name:LABARBERA, JOSEPH P (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:P
Last Name:LABARBERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4020 SUN CITY CENTER BLVD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-5285
Mailing Address - Country:US
Mailing Address - Phone:813-634-5502
Mailing Address - Fax:813-633-2702
Practice Address - Street 1:4020 SUN CITY CENTER BLVD
Practice Address - Street 2:SUITE #1
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-5285
Practice Address - Country:US
Practice Address - Phone:813-634-5502
Practice Address - Fax:813-633-2702
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0034654207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5251729OtherCIGNA
FL5251729OtherCIGNA
FLD58803Medicare UPIN