Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | ME68198 | FL |
NPI | 1306800628 |
---|---|
Provider Name | Dr. Erik S. Barquist |
First Address | Celebration, FL 34747 |
Second Address | Murfreesboro, TN 37129-3193 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2006 |
Last Update Date | 23/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2569671-00 | (05) | FL |
G59466 | (02) | FL |