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General NPI Number Information
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NPI Number | 1043398175
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Entity Type | Individual
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Provider Name | MONIQUE MICHELLE BARBOUR MD
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Gender | Female
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 01/11/2017
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Provider Practice Location Address
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Address Line | 7657 LAKE WORTH
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City | LAKE WORTH FL
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State | FL
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Zip | 33467
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Country | US
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Telephone | 561-432-4141
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Fax | 561-432-4166
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Provider Business Mailing Address
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Address Line | 7657 LAKE WORTH RD
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City | LAKE WORTH
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State | FL
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Zip | 33467
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Country | US
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Telephone | 561-432-4141
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Fax | 561-432-4166
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME68835
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME68835
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME68835
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME68835
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME68835
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | ME68835
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License Number State | FL
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