Healthcare Provider Details

I. General information

NPI: 1841492832
Provider Name (Legal Business Name): BARRY SKOBEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2007
Last Update Date: 09/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8819 SW 74TH AVE
GAINESVILLE FL
32608-9817
US

IV. Provider business mailing address

8819 SW 74TH AVE
GAINESVILLE FL
32608-9817
US

V. Phone/Fax

Practice location:
  • Phone: 407-434-9044
  • Fax:
Mailing address:
  • Phone: 407-434-9044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberME0031921
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: