Healthcare Provider Details

I. General information

NPI: 1720573785
Provider Name (Legal Business Name): JOHN HENRY BARRASS II ATC, EMT-B
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2018
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7431 SW 120TH ST
PINECREST FL
33156-4635
US

IV. Provider business mailing address

19500 WHISPERING PINES RD
CUTLER BAY FL
33157-8865
US

V. Phone/Fax

Practice location:
  • Phone: 305-235-1360
  • Fax:
Mailing address:
  • Phone: 786-444-8114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: