Healthcare Provider Details

I. General information

NPI: 1588973192
Provider Name (Legal Business Name): N BENJAMIN BARNEA MD. PA.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2010
Last Update Date: 09/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N UNIVERSITY DR SUITE 202
CORAL SPRINGS FL
33071-8914
US

IV. Provider business mailing address

1500 N UNIVERSITY DR SUITE 202
CORAL SPRINGS FL
33071-8914
US

V. Phone/Fax

Practice location:
  • Phone: 954-341-8100
  • Fax: 954-341-8100
Mailing address:
  • Phone: 954-341-8100
  • Fax: 954-341-8100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME34004
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME34004
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberME34004
License Number StateFL

VIII. Authorized Official

Name: N. BENJAMIN BARNEA
Title or Position: PRES.
Credential: MD.
Phone: 954-341-8100