| Organization Name: | BARROS FAMILY HEALTHCARE PA |
| NPI Number: | 1306176037 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANA PLANA BARROS (OFFICE MANAGER) |
| Mailing Address: | 1301 Plantation Island Dr. South 102b St. Augustine |
| State: | FL US |
| Postal Code: | 32080 |
| Phone Number: | 9044712593 |
| Fax Number: | 9044714569 |
| NPI Enumeration Date: | 12/31/2009 |
| NPI Last Update Date: | 12/31/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |