Basic Information
Provider Information
NPI: 1053895375
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PIERRE-LOUIS
FirstName: BARBARA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6675 WESTWOOD BLVD STE 475
Address2:  
City: ORLANDO
State: FL
PostalCode: 328216027
CountryCode: US
TelephoneNumber: 4078450330
FaxNumber: 8889721752
Practice Location
Address1: 4700 N HABANA AVE STE 101
Address2:  
City: TAMPA
State: FL
PostalCode: 336147116
CountryCode: US
TelephoneNumber: 8134449599
FaxNumber: 8135138510
Other Information
ProviderEnumerationDate: 09/21/2018
LastUpdateDate: 05/10/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/10/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XARNP9358044FLY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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