Healthcare Provider Details

I. General information

NPI: 1831710763
Provider Name (Legal Business Name): SABRINA BARBER BSN, RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2020
Last Update Date: 06/15/2022
Certification Date: 06/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10967 LAKE UNDERHILL RD STE 138
ORLANDO FL
32825-4455
US

IV. Provider business mailing address

4861 WHISTLER DR
ORLANDO FL
32812-6810
US

V. Phone/Fax

Practice location:
  • Phone: 407-748-6439
  • Fax: 321-340-3496
Mailing address:
  • Phone: 407-748-6439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN9342324
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: