Organization
JACQUELINE E BARRETT MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE E BARRETT MD (PRESIDENT)
(954) 983-3355
Entity
Organization
Contact information
Practice address
4651 SHERIDAN ST STE 450, HOLLYWOOD, FL 33021-3415
(954) 983-3355
Mailing address
4651 SHERIDAN ST STE 450, HOLLYWOOD, FL 33021-3415
(954) 983-3355
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
ME85154
FL
2084P0800X
Psychiatry Physician
ME85154
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME85154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269101900
—
FL
Enumeration date
06/09/2010
Last updated
06/09/2010
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