Elizabeth Marie Barroso, DMD
Individual provider Active NPI General Practice Dentistry · Yulee, FL
NPI 1013400613 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1013400613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN25316 (FL)
- Practice address
- 463787 State Road 200
Yulee, FL 32097-8652 - Phone
- (904) 875-4131
- NPI assigned
- Jun 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34106 | TX | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mineral Wells, PLLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN25316 | FL | Yes |
Addresses
Primary practice location
463787 State Road 200
Yulee, FL 32097-8652
Mailing address
450 Slash Pine PL
Yulee, FL 32097-0096
Other providers in Yulee, FL
- Baptist Medical Center of Nassau, Inc.
- Baptist Obstetrics and Gynecology Inc
- Baptist Primary Care Inc
- Baptist Primary Care Inc
- Barbara Bailey, RN, LMT, LLC
- Jennifer Barrow
- Diana Bastidas Vallejo
- Christine Baum
- Beacon in Home Health LLC
- Morgan Riley Beck
All providers in Yulee, FL · General Practice Dentistry in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.