Healthcare Provider Details

I. General information

NPI: 1902055742
Provider Name (Legal Business Name): BARBARA J. ATKINS R.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2008
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3206 S MARITANA DR
ST PETE BEACH FL
33706-4071
US

IV. Provider business mailing address

5791 49TH ST N
ST PETERSBURG FL
33709-2107
US

V. Phone/Fax

Practice location:
  • Phone: 727-363-9845
  • Fax:
Mailing address:
  • Phone: 727-527-2100
  • Fax: 727-521-3710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: