Healthcare Provider Details

I. General information

NPI: 1356262968
Provider Name (Legal Business Name): ROSMARY A BARRIOS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3102 SAMMONDS RD APT 79
PLANT CITY FL
33563-4579
US

IV. Provider business mailing address

3102 SAMMONDS RD APT 79
PLANT CITY FL
33563-4579
US

V. Phone/Fax

Practice location:
  • Phone: 470-807-7977
  • Fax:
Mailing address:
  • Phone: 470-807-7977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberB610581103000
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: