MEDICARE: DEBRA BARGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1184731465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA BARGER

Provider Business Mailing Address
First Line	:	1833 BRANCH FORBES RD.
Second Line	:	LOT 36
City	:	PLANT CITY
State	:	FL
Zip	:	33565-5783
Country	:	US
Telephone Number	:	813-754-5811
Fax Number	:	813-754-8335

Provider Business Practice Location Address
First Line	:	1833 BRANCH FORBES RD.
Second Line	:	LOT 36
City	:	PLANT CITY
State	:	FL
Zip	:	33565-5783
Country	:	US
Telephone Number	:	813-754-5811
Fax Number	:	813-754-8335

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	07/09/2007

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