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Individual
IHOSVANI BARROSO
Active
Individual
IHOSVANI BARROSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME1223334
FL
208D00000X
General Practice Physician
Primary
ME122334
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015241700
—
FL
01
—
ME122334
MEDICAL LICENSE
FL
Enumeration date
10/22/2012
Last updated
07/21/2020
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