Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | ME68835 | FL |
N | 207P00000X | Emergency Physician | ME68835 | FL |
N | 207Q00000X | Family Doctor | ME68835 | FL |
N | 207R00000X | Internist | ME68835 | FL |
N | 111NI0900X | Internist | ME68835 | FL |
Y | 207W00000X | Ophthalmologist | ME68835 | FL |
NPI | 1043398175 |
---|---|
Provider Name | Mrs. Monique Michelle Barbour |
First Address | Lake Worth, FL 33467 |
Second Address | Lake Worth Fl, FL 33467 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 11/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
27420 | BCBS (01) | FL |
379780501 | (05) | FL |
F65593 | (02) |