Organization
ERNESTO BARRAL MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO BARRAL M.D. (PEDIATRICIAN)
(772) 337-4208
Entity
Organization
Contact information
Practice address
1847 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5530
(772) 337-4208
Mailing address
1847 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5530
(772) 337-4208
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME94471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275366900
—
FL
Enumeration date
02/26/2007
Last updated
08/04/2010
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