Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LC1500X | Nurse Practitioner - Community Health | APRN48645NP | WV |
N | 363LF0000X | Nurse Practitioner - Family Medicine | APRN48645NP | WV |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9375779 | FL |
NPI | 1881095867 |
---|---|
Provider Name | Marisela Perez-Barsh |
First Address | Tampa, FL 33614-7148 |
Second Address | Palm Beach Gardens, FL 33410-4327 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2014 |
Last Update Date | 03/08/2017 |