Edward Arthur Barron

Individual provider Active NPI Other Technician · Wilton Manors, FL

NPI 1174064000 · NPPES record last updated Mar 11, 2017

Key facts

NPI
1174064000
Entity type
Individual (NPI type 1)
Primary specialty
Other Technician 247200000X
Practice address
520 NE 20TH St
Apt. 305
Wilton Manors, FL 33305-2105
Phone
(305) 333-2468
NPI assigned
Mar 11, 2017
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Yes

Addresses

Primary practice location

520 NE 20TH St
Apt. 305
Wilton Manors, FL 33305-2105

Mailing address

520 NE 20TH St
Apt. 305
Wilton Manors, FL 33305-2105
Phone (305) 333-2468

Other providers in Wilton Manors, FL

All providers in Wilton Manors, FL · Other Technician in Florida

Sources for this page

Verify at the official NPI Registry.