Provider Demographics
NPI:1922665165
Name:BARDA, LIRAN RINA (MD)
Entity Type:Individual
Prefix:DR
First Name:LIRAN
Middle Name:RINA
Last Name:BARDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 NW 10TH AVE STE T215
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1018
Mailing Address - Country:US
Mailing Address - Phone:305-585-1178
Mailing Address - Fax:
Practice Address - Street 1:1800 NW 10TH AVE STE 215
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1018
Practice Address - Country:US
Practice Address - Phone:305-585-1178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-23
Last Update Date:2022-08-24
Deactivation Date:2020-01-02
Deactivation Code:
Reactivation Date:2020-01-29
Provider Licenses
StateLicense IDTaxonomies
FLME1577462086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery