Organization
BARROSO MEDICAL SERVICES LLC
Active
Other names
AB Core Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
IHOSVANI BARROSO MD (PRESIDENT)
(786) 899-0119
Entity
Organization
Contact information
Practice address
5803 NW 151ST ST STE 102-103, MIAMI LAKES, FL 33014-2495
(786) 899-0119
Mailing address
4835 E 4TH AVE STE B, HIALEAH, FL 33013-1814
(305) 613-7986
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022004900
—
FL
01
—
ME122334
MEDICAL LICENSE
FL
Enumeration date
08/17/2017
Last updated
01/02/2025
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