Provider Demographics
NPI:1982803631
Name:BARBER, LAURA CARRIZO (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:CARRIZO
Last Name:BARBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:609 PORTIA ST N
Mailing Address - Street 2:
Mailing Address - City:NOKOMIS
Mailing Address - State:FL
Mailing Address - Zip Code:34275-2379
Mailing Address - Country:US
Mailing Address - Phone:813-658-8197
Mailing Address - Fax:941-274-5476
Practice Address - Street 1:3701 FAU BLVD STE 300
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6491
Practice Address - Country:US
Practice Address - Phone:954-282-6024
Practice Address - Fax:954-510-4341
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-00093207RC0200X
FLME109530207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL56499EMedicare UPIN