Individual
BERNICE BAROUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3222 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8048
(941) 627-5155
Mailing address
3222 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8048
(941) 627-5155
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS19199
FL
Other
Enumeration date
06/22/2018
Last updated
12/15/2022
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