Healthcare Provider Details

I. General information

NPI: 1821216615
Provider Name (Legal Business Name): BARRY UNIVERSITY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 09/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3659 S MIAMI AVE STE 3008
MIAMI FL
33133-4425
US

IV. Provider business mailing address

11300 NE 2ND AVE
MIAMI FL
33161-6628
US

V. Phone/Fax

Practice location:
  • Phone: 305-859-7777
  • Fax: 305-859-7444
Mailing address:
  • Phone: 305-899-3255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO1260
License Number StateFL

VIII. Authorized Official

Name: ALBERT ARMSTRONG
Title or Position: DEAN
Credential:
Phone: 305-899-3255