Healthcare Provider Details

I. General information

NPI: 1043209356
Provider Name (Legal Business Name): JULIA BERTHA BARRIGA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 02/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 E BUSCH BLVD
TAMPA FL
33617-5303
US

IV. Provider business mailing address

5001 E BUSCH BLVD
TAMPA FL
33617-5303
US

V. Phone/Fax

Practice location:
  • Phone: 813-984-8846
  • Fax: 813-984-8827
Mailing address:
  • Phone: 813-984-8846
  • Fax: 813-984-8827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME 0068807
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: