Shaw Barbaccia, Dorothy M

Shaw Barbaccia, Dorothy M is an sole proprietor health care provider with primary practice located at 2351 S Seacrest Blvd , Boynton Beach FL 33435-6759. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Shaw Barbaccia, Dorothy M can be contacted via phone (561) 732-5900.

Contact Information

Primary practice address
2351 S Seacrest Blvd Boynton Beach FL 33435-6759
Phone: (561) 732-5900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP1812502 Florida

Profile Details

NPI number 1700845013
LBN Legal business name Shaw Barbaccia, Dorothy M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Nov 5th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700845013 NPPES
Florida MEDICAID 301182800

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