Healthcare Provider Details

I. General information

NPI: 1932741147
Provider Name (Legal Business Name): ELISABETH AMY BARRAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2019
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 CARE DR STE 206
TALLAHASSEE FL
32308-4489
US

IV. Provider business mailing address

2626 CARE DR STE 206
TALLAHASSEE FL
32308-4489
US

V. Phone/Fax

Practice location:
  • Phone: 850-219-2306
  • Fax:
Mailing address:
  • Phone: 850-219-2306
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2025-01301
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberME183609
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: