Healthcare Provider Details

I. General information

NPI: 1760751408
Provider Name (Legal Business Name): MARIE CARMEL BAROSY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2011
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 S CONGRESS AVE
PALM SPRINGS FL
33461-2175
US

IV. Provider business mailing address

1343 SCOTTSDALE RD E
WEST PALM BEACH FL
33417-5652
US

V. Phone/Fax

Practice location:
  • Phone: 305-207-4443
  • Fax: 305-207-4442
Mailing address:
  • Phone: 561-802-8431
  • Fax: 561-242-5227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP 3316742
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: