Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | ME102461 | FL |
NPI | 1093963266 |
---|---|
Provider Name | David Jason Barkoe |
First Address | Miami, FL 33156-7397 |
Second Address | South Miami, FL 33143-4679 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2008 |
Last Update Date | 26/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
008338300 | (05) | FL |