Individual
BARRY MARC MISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 JUPITER LAKES BLVD STE 3105, JUPITER, FL 33458-7189
(561) 745-7789
(561) 755-8745
Mailing address
PO BOX 8068, JUPITER, FL 33468-8068
(618) 184-4145
(561) 745-4470
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0051970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0064761
GHI
FL
01
—
05850
BCBS
FL
01
—
3702024
UNITED HEALTHCARE
FL
05
—
57785562
—
CO
Enumeration date
04/06/2006
Last updated
12/25/2021
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