Healthcare Provider Details

I. General information

NPI: 1730017989
Provider Name (Legal Business Name): MARIE NATACHA BAROSY LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3820 DAVIE ROAD EXT UNIT 3201
HOLLYWOOD FL
33024-1691
US

IV. Provider business mailing address

3820 DAVIE ROAD EXT UNIT 3201
HOLLYWOOD FL
33024-1691
US

V. Phone/Fax

Practice location:
  • Phone: 954-901-0337
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number5257302
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: