Individual
MIRNA F BARAKAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2119 OAK ST, JACKSONVILLE, FL 32204-4410
(904) 389-2707
(904) 389-7009
Mailing address
2119 OAK ST, JACKSONVILLE, FL 32204-4410
(904) 389-2707
(904) 389-7009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME75096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271968100
—
FL
Enumeration date
04/14/2006
Last updated
10/17/2011
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