Provider Demographics
NPI:1700803301
Name:SOCHA, BARBARA (MD)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:SOCHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 PLANTATION SHORES DR
Mailing Address - Street 2:
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-2320
Mailing Address - Country:US
Mailing Address - Phone:302-604-4099
Mailing Address - Fax:
Practice Address - Street 1:91550 OVERSEAS HWY STE 215
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2513
Practice Address - Country:US
Practice Address - Phone:305-853-9236
Practice Address - Fax:305-853-9238
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0129692207R00000X
DEC10007923207R00000X
MDD0035609207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19098200Medicaid
P00361770OtherMEDICARE RAILROAD
MDB69769Medicare UPIN
FL19098200Medicaid
DEG02427Medicare PIN
DEG02427Medicare PIN