Healthcare Provider Details

I. General information

NPI: 1912823147
Provider Name (Legal Business Name): BARBAHRA CAROLYNIE AMORIM REIS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3820 SW ARCHER RD STE 10
GAINESVILLE FL
32608-2406
US

IV. Provider business mailing address

1571 NW 128TH TER
NEWBERRY FL
32669-0509
US

V. Phone/Fax

Practice location:
  • Phone: 135-232-7408
  • Fax:
Mailing address:
  • Phone: 804-319-6803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN32264
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: