# IHOSVANI BARROSO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992058408
- **Gender:** Man
- **Credential:** M.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | ME1223334 | FL | — |
| 208D00000X | General Practice Physician | ME122334 | FL | Yes |

## Other

- **Enumeration date:** 10/22/2012
- **Last updated:** 07/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 015241700 | — | FL |
| 01 | — | ME122334 | MEDICAL LICENSE | FL |
