Healthcare Provider Details

I. General information

NPI: 1568504330
Provider Name (Legal Business Name): DOUGLAS H. BARLOW, MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8194 GLADES RD
BOCA RATON FL
33434-4065
US

IV. Provider business mailing address

8194 GLADES RD
BOCA RATON FL
33434-4065
US

V. Phone/Fax

Practice location:
  • Phone: 561-488-4480
  • Fax:
Mailing address:
  • Phone: 561-488-4480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. LISA LACOVA
Title or Position: BILLING MANAGER
Credential:
Phone: 954-426-1186