Individual
BSHARA J BARAKAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
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
ME68949
FL
207R00000X
Internal Medicine Physician
Primary
ME68949
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271973800
—
FL
Enumeration date
04/17/2006
Last updated
02/28/2014
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