Provider Demographics
NPI:1184595530
Name:BARAK PODIATRY,LLC
Entity type:Organization
Organization Name:BARAK PODIATRY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BARAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-286-0462
Mailing Address - Street 1:4157 CLARK RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-2403
Mailing Address - Country:US
Mailing Address - Phone:941-923-4999
Mailing Address - Fax:941-923-4998
Practice Address - Street 1:4157 CLARK RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-2403
Practice Address - Country:US
Practice Address - Phone:941-923-4999
Practice Address - Fax:941-923-4998
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BARAK PODIATRY,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty