MEDICARE: DR. DEANNA L BARBARO DC

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	111N00000X	Chiropractor	CH0007626	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	53886	OTHER	FL	BLUE CROSS BLUE SHIELD
3	9638091	OTHER	FL	GHI
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972563542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEANNA L BARBARO DC

Provider Business Mailing Address
First Line	:	661 GOODLETTE RD N
Second Line	:	SUITE 108
City	:	NAPLES
State	:	FL
Zip	:	34102-5609
Country	:	US
Telephone Number	:	239-263-3369
Fax Number	:	239-263-8842

Provider Business Practice Location Address
First Line	:	661 GOODLETTE RD N
Second Line	:	SUITE 108
City	:	NAPLES
State	:	FL
Zip	:	34102-5609
Country	:	US
Telephone Number	:	239-263-3369
Fax Number	:	239-263-8842

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

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	08/23/2010

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Directions to “ DR. DEANNA L BARBARO DC” Practice Location

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