Healthcare Provider Details

I. General information

NPI: 1013216134
Provider Name (Legal Business Name): WORTH LITTLEJOHN BARBOUR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2011
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13767 HEANEY AVE
ORLANDO FL
32827-7499
US

IV. Provider business mailing address

13767 HEANEY AVE
ORLANDO FL
32827-7499
US

V. Phone/Fax

Practice location:
  • Phone: 813-709-0917
  • Fax:
Mailing address:
  • Phone: 813-709-0917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License NumberME124546
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD453143
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number281250
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME124546
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: