Healthcare Provider Details

I. General information

NPI: 1184731465
Provider Name (Legal Business Name): DEBRA BARGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1833 BRANCH FORBES RD. LOT 36
PLANT CITY FL
33565-5783
US

IV. Provider business mailing address

1833 BRANCH FORBES RD. LOT 36
PLANT CITY FL
33565-5783
US

V. Phone/Fax

Practice location:
  • Phone: 813-754-5811
  • Fax: 813-754-8335
Mailing address:
  • Phone: 813-754-5811
  • Fax: 813-754-8335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: