Provider Demographics
NPI:1679532337
Name:SCOTT BARRON, LAURIE (MD)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:SCOTT BARRON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:L.
Other - Middle Name:LAURIE
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2900 CORPORATE WAY
Mailing Address - Street 2:DOOR D
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4069
Mailing Address - Country:US
Mailing Address - Phone:954-276-5685
Mailing Address - Fax:954-985-7081
Practice Address - Street 1:20801 BISCAYNE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1422
Practice Address - Country:US
Practice Address - Phone:954-265-3015
Practice Address - Fax:954-276-0069
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4688207VM0101X
FLME0071439207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251660800Medicaid
FL251660800Medicaid
TXH4688OtherMEDICAL LICENSE
FLBS2730578OtherDEA NUMBER
FLME0071439OtherMEDICAL LICENSE
FLME0071439OtherMEDICAL LICENSE
FL32336ZMedicare ID - Type Unspecified