| Doctor Name: | DR. NAGEH S. BARSOUM |
| NPI Number: | 1568462083 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME81897 |
| Business Practice Address: | 3260 Murrell Rd Suite 102 Rockledge, FL - 329554407 |
| Business Phone Number: | 3216327520 |
| Business Fax Number: | 3216328092 |
| Mailing Address: | 3260 Murrell Rd, Suite 102 ROCKLEDGE |
| State: | FL |
| Postal Code: | 329554407 |
| Phone Number: | 3216327520 |
| Fax Number: | 3216328092 |
| NPI Enumeration Date: | 07/27/2005 |
| NPI Last Update Date: | 02/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME81897 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |