Provider Demographics
NPI:1821021700
Name:ROBERT V BARBARITE MDPA
Entity Type:Organization
Organization Name:ROBERT V BARBARITE MDPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:V
Authorized Official - Last Name:BARBARITE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-757-0140
Mailing Address - Street 1:7541 N STATE ROAD 7
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33073-3510
Mailing Address - Country:US
Mailing Address - Phone:954-757-0140
Mailing Address - Fax:954-757-0150
Practice Address - Street 1:7541 N STATE ROAD 7
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33073-3510
Practice Address - Country:US
Practice Address - Phone:954-757-0140
Practice Address - Fax:954-757-0150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0026453207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL45362OtherBCBS
FL45362OtherBCBS
FL=========OtherTAX ID#
FLK0794Medicare ID - Type Unspecified