Barbosa, Jerry Levy
Barbosa, Jerry Levy is an individual health care provider with primary practice located at 601 5Th Street South Suite 302, St Petersburg FL 33701. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Barbosa, Jerry Levy can be contacted via phone (727) 767-4176.Contact Information
Primary practice address
601 5Th Street South Suite 302
St Petersburg FL 33701
Phone: (727) 767-4176
Fax: (727) 767-4379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME0026819 | Florida |
Profile Details
| NPI number | 1871599043 |
|---|---|
| LBN Legal business name | Barbosa, Jerry Levy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Sep 22nd, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871599043 | NPPES |
| Florida | MEDICAID | 057182200 |
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