Dr. Malissa Michele Barbosa, D.O.
Family Medicine, Addiction Medicine in Lake Mary, FL. Individual provider (NPI-1).
NPI number1578890422
StatusActive
Last updated in NPPESOct 30, 2026
Details
- NPI
- 1578890422
- Entity type
- Individual (NPI-1)
- Name
- Dr. Malissa Michele Barbosa
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2009
- Certification date
- Oct 30, 2026
- Last updated
- Oct 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0401X | Family Medicine, Addiction Medicine | OS14974 | FL | Yes |
| 207QA0401X | Family Medicine, Addiction Medicine | UO2948 | FL | |
| 207QA0401X | Family Medicine, Addiction Medicine | 0102206962 | VA | |
| 207QB0002X | Family Medicine, Bariatric Medicine | OS016808 | PA | |
| 207QB0002X | Family Medicine, Bariatric Medicine | OS14974 | FL | |
| 207Q00000X | Family Medicine | UO2948 | FL | |
| 207R00000X | Internal Medicine | OT013207 | PA | |
| 207QB0002X | Family Medicine, Bariatric Medicine | 0102206962 | VA | |
| 207QA0401X | Family Medicine, Addiction Medicine | OS016808 | PA |
Practice location
760 Currency CirLake Mary, FL 32746-2138
Phone 321-768-3405
Mailing address
5840 Red Bug Lake Rd Ste 20Winter Springs, FL 32708-5011
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