| Marc S Barasch Do | |
|
1751 66th St N St Petersburg FL 33710-5537 | |
| (727) 302-9622 | |
| (727) 302-9711 |
| Full Name | Marc S Barasch Do |
|---|---|
| Speciality | Family Medicine |
| Location | 1751 66th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Marc Barasch (PHYSICIAN) |
| Authorized Official Contact | 7273029622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marc S Barasch Do 1751 66th St N St Petersburg FL 33710-5537 Ph: (727) 302-9622 | Marc S Barasch Do 1751 66th St N St Petersburg FL 33710-5537 Ph: (727) 302-9622 |
| NPI Number | 1780056275 |
|---|---|
| Provider Enumeration Date | 10/23/2015 |
| Last Update Date | 10/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780056275 | NPI | - | NPPES |
| 01108458 | Other | AMERIGROUP | |
| 197836 | Other | WELLCARE | |
| 5014675 | Other | AETNA | |
| 57402 | Other | BLUECROSS BLUESHIELD | |
| 253399500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS7132 (Florida) | Primary |
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