Healthcare Provider Details

I. General information

NPI: 1336102383
Provider Name (Legal Business Name): JUDY ALLEN-RYAN BARZEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JUDY ALLEN-RYAN MD

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18938 N DALE MABRY HWY STE 101
LUTZ FL
33548-4904
US

IV. Provider business mailing address

18938 N DALE MABRY HWY STE 101
LUTZ FL
33548-4904
US

V. Phone/Fax

Practice location:
  • Phone: 813-573-0064
  • Fax: 813-796-6949
Mailing address:
  • Phone: 813-573-0064
  • Fax: 813-796-6949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number1491
License Number StateVI
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME 93732
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: