Provider Demographics
NPI:1972059228
Name:GELASIO BARAS MD PA
Entity Type:Organization
Organization Name:GELASIO BARAS MD PA
Other - Org Name:GABA NEUROLOGY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GELASIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARAS PIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-303-8025
Mailing Address - Street 1:PO BOX 403451
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-1451
Mailing Address - Country:US
Mailing Address - Phone:786-303-8025
Mailing Address - Fax:305-675-2817
Practice Address - Street 1:11760 SW 40TH ST STE 502
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175
Practice Address - Country:US
Practice Address - Phone:305-227-2700
Practice Address - Fax:305-227-2701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1272972084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty