Healthcare Provider Details

I. General information

NPI: 1699442467
Provider Name (Legal Business Name): PHOEBE ELIZABETH BAROUK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2021
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2188 W ATLANTIC AVE
DELRAY BEACH FL
33445-4657
US

IV. Provider business mailing address

2188 W ATLANTIC AVE
DELRAY BEACH FL
33445-4657
US

V. Phone/Fax

Practice location:
  • Phone: 561-299-0712
  • Fax: 561-709-8760
Mailing address:
  • Phone: 561-299-0712
  • Fax: 561-709-8760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN11015777
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN1030628
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: