MEDICARE: BARRY S VERKAUF M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VE0102X	Reproductive Endocrinology Physician	ME14182	FL
2	207VE0102X	Reproductive Endocrinology Physician	MD.010074	LA
3	207VE0102X	Reproductive Endocrinology Physician	18237	NC

General Provider Information

NPI Number	:	1184619215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARRY S VERKAUF M.D.

Provider Business Mailing Address
First Line	:	PO BOX 917770
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32891-7770
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 TAMPA GENERAL CIR
Second Line	:	STC 6TH FLOOR
City	:	TAMPA
State	:	FL
Zip	:	33606-3603
Country	:	US
Telephone Number	:	813-259-8500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	02/12/2010

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