MEDICARE: MRS. BARBARA EDEN DE OLIVEIRA SA LATYKI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	40QA01806500	NJ
2	225100000X	Physical Therapist	PT35095	FL

General Provider Information

NPI Number	:	1245715762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BARBARA EDEN DE OLIVEIRA SA LATYKI

Provider Business Mailing Address
First Line	:	216 BERGEN ST APT 2
Second Line	:
City	:	HARRISON
State	:	NJ
Zip	:	07029-2112
Country	:	US
Telephone Number	:	862-242-6039
Fax Number	:

Provider Business Practice Location Address
First Line	:	7033 COMMONWEALTH AVE STE 2
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32220-2831
Country	:	US
Telephone Number	:	904-378-3202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2018
Last Update Date	:	12/16/2019

Similar Medicare Providers

1235216235 — MICHELLE DESPRES
Practice Location Address:

7033 COMMONWEALTH AVE STE 2
JACKSONVILLE, FL
32220-2831

Practice Phone: 904-378-3202
Practice Fax:

1528135225 — MR. BRET ALAN ZERGER M.A.
Practice Location Address:

6316 SAN JUAN AVE , SUITE 41
JACKSONVILLE, FL
32210-2831

Practice Phone: 904-783-2579
Practice Fax:

1720155468 — MR. JAMES KEVIN BAILEY M.S.
Practice Location Address:

6316 SAN JUAN AVE
JACKSONVILLE, FL
32210-2831

Practice Phone: 904-783-2579
Practice Fax: 904-783-1901

1538226634 — REBECCA JOY VAN DELLEN MSW
Practice Location Address:

6316 SAN JUAN AVE , SUITE 41
JACKSONVILLE, FL
32210-2831

Practice Phone: 904-783-2979
Practice Fax:

1285888073 — ADRIA PRATT FORTE LMHC
Practice Location Address:

6316 SAN JUAN AVE , SUITE 41
JACKSONVILLE, FL
32210-2831

Practice Phone: 904-783-2579
Practice Fax: 904-225-1901

1578878377 — MS. KIMBERLY FRINE' SPEARING M.S.
Practice Location Address:

6316 SAN JUAN AVE
JACKSONVILLE, FL
32210-2831

Practice Phone: 904-783-2579
Practice Fax:

Directions to “ MRS. BARBARA EDEN DE OLIVEIRA SA LATYKI ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.