Provider Demographics
NPI:1427449735
Name:BARSOUM, ELIZABETH (ARNP)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:
Last Name:BARSOUM
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 S MILITARY TRL
Mailing Address - Street 2:SUITE 10
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-3015
Mailing Address - Country:US
Mailing Address - Phone:954-426-9600
Mailing Address - Fax:954-426-2257
Practice Address - Street 1:100 S MILITARY TRL
Practice Address - Street 2:SUITE 10
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-3015
Practice Address - Country:US
Practice Address - Phone:954-426-9600
Practice Address - Fax:954-426-2257
Is Sole Proprietor?:No
Enumeration Date:2015-02-09
Last Update Date:2015-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1963512363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily