MEDICARE: EVA T. BARCO APRN

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	363LF0000X	Family Nurse Practitioner	APRN9237551	FL
2	363LP2300X	Primary Care Nurse Practitioner	APRN9237551	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F07180843	OTHER	FL	NURSE PRACTITIONER CERTIFICATIN BOARD INC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306301080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVA T. BARCO APRN

Provider Business Mailing Address
First Line	:	709 CREEKWATER TER APT 209
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-6072
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	709 CREEKWATER TER APT 209
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-6072
Country	:	US
Telephone Number	:	305-607-8933
Fax Number	:

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

Provider Enumeration Date	:	02/06/2019
Last Update Date	:	10/21/2025

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Directions to “ EVA T. BARCO APRN” Practice Location

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