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Individual

CHARLES A BARRIOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1835 GILMORE AVE, LAKELAND, FL 33805-3017
(863) 519-0575
(863) 582-9251
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
(863) 519-0575
(863) 582-9251

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME82131
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014315900
FL
01
1023232162
PERSONAL NPI
FL
01
1144228446
CORPORATE NPI
FL
01
1497748743
NPI CORPORATE
FL
01
DA5786
RAILROAD MEDICARE GROUP NUMBER
FL
Enumeration date
04/12/2007
Last updated
10/15/2025
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