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NPI Code Detail

MEDICARE: KARLA BARKDOLL LMT

MEDICARE:   KARLA  BARKDOLL  LMT
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
1174400000XSpecialistMA47546FL

General Provider Information

NPI Number : 1518313543
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLA BARKDOLL LMT
Provider Business Mailing Address
First Line : 1754 BOCAWOOD CT
Second Line :
City : TRINITY
State : FL
Zip : 34655-4908
Country : US
Telephone Number : 727-372-6389
Fax Number :
Provider Business Practice Location Address
First Line : 1754 BOCAWOOD CT
Second Line :
City : TRINITY
State : FL
Zip : 34655-4908
Country : US
Telephone Number : 727-372-6389
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2016
Last Update Date : 05/09/2016

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Directions to “ KARLA BARKDOLL LMT” Practice Location

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