Provider Demographics
NPI:1548250772
Name:BARLOW, ERIC R (MD)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:R
Last Name:BARLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11215 METRO PKWY STE 1
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-1206
Mailing Address - Country:US
Mailing Address - Phone:239-208-2212
Mailing Address - Fax:515-412-5123
Practice Address - Street 1:11215 METRO PKWY STE 1
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-1206
Practice Address - Country:US
Practice Address - Phone:239-208-2212
Practice Address - Fax:515-412-5123
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA345682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAIA0107OtherJOHN DEERE
IA1278812Medicaid
IA35272OtherWELLMARK
IA1548250772Medicaid
IA240572OtherMIDLANDS CHOICE
IA35272OtherWELLMARK
IA240572OtherMIDLANDS CHOICE
IA719260460Medicare PIN