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Jerry Levy Barbosa, MD
Specialist in St Petersburg, Florida
NPI 1871599043

Jerry Levy Barbosa is a Specialist based in St Petersburg, FL. Jerry Levy Barbosa practices in St Petersburg, FL and has the professional credentials of MD. The NPI Number for Jerry Levy Barbosa is 1871599043 and holds a License No. ME0026819 (Florida).

The current practice location address for Jerry Levy Barbosa is 601 5Th Street South, St Petersburg, FL and can be reached out via phone at 727-767-4176 and via fax at 727-767-4379.

Location: 601 5Th Street South, St Petersburg, FL, 33701-4804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871599043
Provider Name
Jerry Levy Barbosa
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
601 5Th Street South, St Petersburg, FL, 33701-4804
Phone Number
727-767-4176
Fax Number
727-767-4379
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
057182200 05 FL
institution
Provider Business Practice Location Address Details
Address
601 5Th Street South
City
St Petersburg
State
Florida
Zip
33701
Phone Number
727-767-4176
Fax Number
727-767-4379
person
Provider Business Mailing Address Details
Address
601 5Th Street South
City
St Petersburg
State
Florida
Zip
33701
Phone Number
727-767-4176
Fax Number
727-767-4379
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME0026819 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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