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BARROSO MEDICAL SERVICES LLC NPI 1245756576


NPI Information

NPI: 1245756576
Provider Name: BARROSO MEDICAL SERVICES LLC

Doing Business As: AB CORE PEDIATRICS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2135404

Address:
4835 E 4TH AVE STE B
HIALEAH, FL
ZIP 33013
Phone: (786) 899-0119
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BARROSO MEDICAL SERVICES LLC is a primary care clinic center in Hialeah, FL. BARROSO MEDICAL SERVICES LLC NPI is 1245756576. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ab Core Pediatrics.

The provider's business location address is:

4835 E 4TH AVE STE B
HIALEAH, FL
ZIP 33013-814
Phone: (786) 899-0119
Fax: (786) 899-0440

The provider's authorized official is Ihosvani Barroso .
The authorized official title is President and has the following contact phone number (786) 899-0119.

The CLIA number assigned to this NPI record is 10D2135404 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2017 and was last updated on 7/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsME122334FLORIDANo
2261QP2300XClinic/CenterPrimary CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ME122334OTHERFLORIDAMEDICAL LICENSE
2022004900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.