Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME120092 | FL |
N | 111NI0900X | Internist | ME120092 | FL |
Y | 207RX0202X | Medical Oncology | ME120092 | FL |
NPI | 1134320328 |
---|---|
Provider Name | Ayman Barakat |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Spring Hill, FL 34608-1329 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2007 |
Last Update Date | 02/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
012076700 | (05) | FL |