Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 57965 | MN |
N | 207N00000X | Dermatologist | MD2018-0169 | NM |
Y | 207N00000X | Dermatologist | ME151962 | FL |
N | 207ND0101X | MOHS-Micrographic Surgeon | MD2018-0169 | NM |
N | 207ND0101X | MOHS-Micrographic Surgeon | ME151962 | FL |
NPI | 1124464979 |
---|---|
Provider Name | Naiara Sbroggio Barbosa |
First Address | Jacksonville, FL 32224-1865 |
Second Address | Albuquerque, NM 87106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2013 |
Last Update Date | 08/12/2021 |