Provider Demographics
NPI:1568504330
Name:DOUGLAS H. BARLOW, MD PA
Entity Type:Organization
Organization Name:DOUGLAS H. BARLOW, MD PA
Other - Org Name:BARLOW PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:LACOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-426-1186
Mailing Address - Street 1:8194 GLADES RD
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-4065
Mailing Address - Country:US
Mailing Address - Phone:561-488-4480
Mailing Address - Fax:
Practice Address - Street 1:8194 GLADES RD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-4065
Practice Address - Country:US
Practice Address - Phone:561-488-4480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF37778Medicare UPIN