Organization Name: | BARRY UNIVERSITY |
NPI Number: | 1689854291 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN NELSON (ASSOCIATE DEAN OF CLINICS) |
Mailing Address: | 1090 Kane Concourse Suite 204 Bay Harbor Islands |
State: | FL US |
Postal Code: | 331542130 |
Phone Number: | 3058939366 |
Fax Number: | 3058934408 |
NPI Enumeration Date: | 11/12/2007 |
NPI Last Update Date: | 11/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |