Healthcare Provider Details

I. General information

NPI: 1295690592
Provider Name (Legal Business Name): BARBARA PEREIRA DE CASTRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2570 EGRET SHORES DR
ORLANDO FL
32825-7876
US

IV. Provider business mailing address

2570 EGRET SHORES DR
ORLANDO FL
32825-7876
US

V. Phone/Fax

Practice location:
  • Phone: 954-850-4877
  • Fax:
Mailing address:
  • Phone: 954-850-4877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: