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NPI Code Detail

MEDICARE: MRS. BARBARA W WHITBRED

MEDICARE: MRS. BARBARA W WHITBRED
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
1124Q00000XDental HygienistDH4568FL

General Provider Information

NPI Number : 1548390958
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA W WHITBRED
Provider Business Mailing Address
First Line : 3874 ASCOT LN
Second Line :
City : FORT MYERS
State : FL
Zip : 33919-6954
Country : US
Telephone Number : 239-489-2464
Fax Number :
Provider Business Practice Location Address
First Line : 15650 SAN CARLOS BLVD
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-2569
Country : US
Telephone Number : 239-489-1118
Fax Number : 239-489-3627
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. BARBARA W WHITBRED ” Practice Location

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