Provider Demographics
NPI:1851385884
Name:ENTSUAH, BARBARA N (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:N
Last Name:ENTSUAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:NAA
Other - Last Name:AMOO-LAMPTEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:788 E. HIGHLAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711
Mailing Address - Country:US
Mailing Address - Phone:877-423-1330
Mailing Address - Fax:352-274-9148
Practice Address - Street 1:788 E. HIGHLAND AVENUE
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711
Practice Address - Country:US
Practice Address - Phone:877-423-1330
Practice Address - Fax:352-274-9148
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85952207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL268807700Medicaid
FL47898XMedicare PIN
FL268807700Medicaid