Individual
DR. JACK BARUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
781 CRANDON BLVD, SUITE NUMBER 803, KEY BISCAYNE, FL 33149-2543
(130) 536-5579
(130) 536-5579
Mailing address
781 CRANDON BLVD, SUITE NUMBER 803, KEY BISCAYNE, FL 33149-2543
(130) 536-5579
(130) 536-5579
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME 12512
FL
2084P0800X
Psychiatry Physician
Primary
ME12512
FL
Other
Enumeration date
01/12/2013
Last updated
01/12/2013
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