| NPI | 1417911645 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-04-14 |
| Last Updated | 2011-10-17 |
| Mailing Address | 2119 Oak St Jacksonville, FL 32204-4410 United States Phone: (904) 389-2707 | Fax: (904) 389-7009 📍 View Map |
| Primary Practice Address | 2119 Oak St Jacksonville, FL 32204-4410 United States Phone: (904) 389-2707 | Fax: (904) 389-7009 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 271968100 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 174400000X – Specialist | FL | ME75096 |
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About NPI 1417911645
Mirna F Barakat MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1417911645. The primary specialty listed is Specialist. The provider is located in Jacksonville, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-04-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1417911645?
NPI 1417911645 belongs to Mirna F Barakat MD, a Specialist in Jacksonville, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1417911645 active?
The current status of NPI 1417911645 in the NPPES registry is Active. The record was last updated on 2011-10-17.
What specialty is NPI 1417911645?
NPI 1417911645 is classified under the taxonomy Specialist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1417911645?
You can verify NPI 1417911645 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1417911645?
The primary practice address on file for NPI 1417911645 is 2119 Oak St, Jacksonville, FL 32204-4410. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1417911645 issued?
NPI 1417911645 was first issued (enumerated) on 2006-04-14. The NPPES record was last updated on 2011-10-17.
Practice Location Map
Mirna F Barakat is located at 2119 Oak St, Jacksonville, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mirna F Barakat. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1417911645. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Specialist | ME75096 | FL |