Healthcare Provider Details

I. General information

NPI: 1689202491
Provider Name (Legal Business Name): JOSEPH SAMMY BARSA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2020
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 HEALING WAY STE 300
WESLEY CHAPEL FL
33543-5453
US

IV. Provider business mailing address

2700 HEALING WAY STE 300
WESLEY CHAPEL FL
33543-5453
US

V. Phone/Fax

Practice location:
  • Phone: 813-467-4756
  • Fax:
Mailing address:
  • Phone: 813-467-4756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberR5434
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberRTL23-0644
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME168787
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: