Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME0070041 | FL |
N | 208600000X | Surgeon | ME0070041 | FL |
N | 2082S0105X | Plastic Hand Surgeon | ME0070041 | FL |
Y | 2086S0122X | Plastic and Reconstructive Surgery | ME0070041 | FL |
NPI | 1326143827 |
---|---|
Provider Name | Eduardo G Barroso |
First Address | South Miami, FL 33143-5028 |
Second Address | South Miami, FL 33143-5028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 28/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G27530 | (02) | FL |