Provider Demographics
NPI:1831320357
Name:BAROSY, CLAUDE (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:
Last Name:BAROSY
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 1:3006 JUNIPER LN
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33330-1372
Mailing Address - Country:US
Mailing Address - Phone:954-328-2521
Mailing Address - Fax:
Practice Address - Street 1:1702 S DIXIE HWY STE C2
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33460-5886
Practice Address - Country:US
Practice Address - Phone:954-328-2521
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-31
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLACN330208D00000X
PR017665208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLACN330OtherMEDICAL DOCTOR
PR017665OtherMEDICAL DOCTOR