Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | ME113472 | FL |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | ME113472 | FL |
NPI | 1073739744 |
---|---|
Provider Name | Dr. Julie Gladden Barre |
First Address | Sarasota, FL 34239-2640 |
Second Address | Sarasota, FL 34239 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 27/09/2018 |