Healthcare Provider Details

I. General information

NPI: 1306660808
Provider Name (Legal Business Name): MABEL ELENA BARRAL FUMERO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/12/2024
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 MARION OAKS BLVD
OCALA FL
34473-2215
US

IV. Provider business mailing address

601 S HARBOUR ISLAND BLVD STE 200
TAMPA FL
33602-5925
US

V. Phone/Fax

Practice location:
  • Phone: 352-421-3550
  • Fax: 844-388-6186
Mailing address:
  • Phone: 813-444-5838
  • Fax: 833-495-7206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11035544
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9576754
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: