Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | OS9220 | FL |
NPI | 1073567681 |
---|---|
Provider Name | Dr. Carl Robert Barr |
First Address | Ocoee, FL 34761-4603 |
Second Address | Orlando, FL 32803-1456 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 03/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2699320 | (05) | FL |
I17726 | (02) |