Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | OS2722 | FL |
N | 207RP1001X | Pulmonary Disease | 050002722 | FL |
NPI | 1689684730 |
---|---|
Provider Name | Dr. Luis F Barroso |
First Address | Orlando, FL 32807-3531 |
Second Address | Orlando, FL 32807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2006 |
Last Update Date | 05/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
056788400 | (05) | FL |
D60582 | (02) |