MEDICARE: ACN BAROMEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center	ACN330	FL

General Provider Information

NPI Number	:	1740550383
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACN BAROMEDICAL LLC

Provider Business Mailing Address
First Line	:	1702 S DIXIE HWY # C2
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-5886
Country	:	US
Telephone Number	:	954-328-2521
Fax Number	:

Provider Business Practice Location Address
First Line	:	1702 S DIXIE HWY # C2
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-5886
Country	:	US
Telephone Number	:	954-328-2521
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN/MEDICAL DIRECTOR
Name	:	CLAUDE BAROSY
Credential	:	MD
Telephone Number	:	954-328-2521

Provider Enumeration Date	:	01/11/2012
Last Update Date	:	01/20/2012

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