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Organization

NANCY R. BARRETT MD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHANE THOMAS BARRETT (OFFICE MANAGER)
(772) 978-0339
Entity
Organization

Contact information

Practice address
1715 37TH PL, 3RD FL., VERO BEACH, FL 32960-4502
(772) 978-0339
(772) 978-0391
Mailing address
1715 37TH PL, 3RD FL., VERO BEACH, FL 32960-4502
(772) 978-0339

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME92210
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2739003
FL
Enumeration date
02/25/2008
Last updated
02/25/2008
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