MEDICARE: EDUARDO G BARROSO MD

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	2086S0122X	Plastic and Reconstructive Surgery Physician	ME0070041	FL
2	208200000X	Plastic Surgery Physician	ME0070041	FL
3	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	ME0070041	FL

General Provider Information

NPI Number	:	1326143827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDUARDO G BARROSO MD

Provider Business Mailing Address
First Line	:	6141 SUNSET DR
Second Line	:	SUITE 100
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5028
Country	:	US
Telephone Number	:	305-596-7878
Fax Number	:	305-271-3227

Provider Business Practice Location Address
First Line	:	6141 SUNSET DR
Second Line	:	SUITE 100
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5028
Country	:	US
Telephone Number	:	305-596-7878
Fax Number	:	305-271-3227

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

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	01/28/2013

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