Provider Demographics
NPI:1215141601
Name:MICHAEL J BARIMO DO P A
Entity type:Organization
Organization Name:MICHAEL J BARIMO DO P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARIMO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:407-678-2400
Mailing Address - Street 1:483 N SEMORAN BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3800
Mailing Address - Country:US
Mailing Address - Phone:407-678-2400
Mailing Address - Fax:407-678-4926
Practice Address - Street 1:483 N SEMORAN BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3800
Practice Address - Country:US
Practice Address - Phone:407-678-2400
Practice Address - Fax:407-678-4926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS5201207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty