Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | ME0069522 | FL |
NPI | 1033118799 |
---|---|
Provider Name | Robert Barry Lurate |
First Address | Pensacola, FL 32514-6065 |
Second Address | Pensacola, FL 32514-6065 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2005 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009709120 | (05) | AL |
252676000 | (05) | FL |
31783 | BCBS (01) | FL |
5173539 | AETNA (01) | |
59150317 | BCBS (01) | AL |