Individual provider · NPI-1
Dr. Bernard Baroudi
Hospitalist · Port Charlotte, FL
NPI number1053808618
StatusActive
Last updated in NPPESMar 4, 2026
Details
- NPI
- 1053808618
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bernard Baroudi
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 19, 2018
- Certification date
- Mar 4, 2026
- Last updated
- Mar 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | ME153033 | FL | Yes |
| 207R00000X | Internal Medicine | ME153033 | FL |
Practice location
2343 Aaron StPort Charlotte, FL 33952-5305
Phone 855-979-5700 · Fax 855-979-5701
Mailing address
2675 Winkler Ave Ste 200Fort Myers, FL 33901-9328
Phone 877-856-3774
Other practice locations
1700 S Tamiami Trl
Sarasota, FL 34239-3509
Sarasota, FL 34239-3509
Phone 941-917-9000
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