Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | ME36352 | FL |
Y | 111NI0900X | Internist | ME36352 | FL |
N | 207RP1001X | Pulmonary Disease | ME36352 | FL |
NPI | 1033121116 |
---|---|
Provider Name | Dr. Barry Streit |
First Address | Tamarac, FL 33321-4034 |
Second Address | Tamarac, FL 33321-4034 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 24/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
049489500 | (05) | FL |
79570Z | MEDICARE PTAN (01) | FL |
D58846 | (02) | FL |