Provider Demographics
NPI:1871900241
Name:RONALD LEE BARBOUR, MD
Entity type:Organization
Organization Name:RONALD LEE BARBOUR, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BARBOUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-983-0700
Mailing Address - Street 1:PO BOX 292726
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33687-2726
Mailing Address - Country:US
Mailing Address - Phone:813-983-0700
Mailing Address - Fax:813-983-0600
Practice Address - Street 1:341 BULLARD PKWY
Practice Address - Street 2:SUITE A & B
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-5544
Practice Address - Country:US
Practice Address - Phone:813-983-0700
Practice Address - Fax:813-983-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0070416282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital