Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS13175 | FL |
N | 207Q00000X | Family Doctor | OS13175 | FL |
N | 208D00000X | General Practice Physician | UO3357 | FL |
NPI | 1194060756 |
---|---|
Provider Name | Dr. Patrick Eugene Barry |
First Address | South Miami, FL 33143-4701 |
Second Address | South Miami, FL 33143-4701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2012 |
Last Update Date | 05/08/2019 |