Healthcare Provider Details

I. General information

NPI: 1699126714
Provider Name (Legal Business Name): ANITA BARIKIAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2016
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3399 PGA BLVD STE 350
PALM BEACH GARDENS FL
33410-2831
US

IV. Provider business mailing address

3399 PGA BLVD STE 350
PALM BEACH GARDENS FL
33410-2831
US

V. Phone/Fax

Practice location:
  • Phone: 561-624-0099
  • Fax: 561-624-7373
Mailing address:
  • Phone: 561-624-0099
  • Fax: 561-624-7373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME148972
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: