Provider Demographics
NPI:1154650158
Name:BARKOE, TATIANA (ARNP)
Entity Type:Individual
Prefix:
First Name:TATIANA
Middle Name:
Last Name:BARKOE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 430955
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33243-0955
Mailing Address - Country:US
Mailing Address - Phone:305-270-0402
Mailing Address - Fax:305-595-6179
Practice Address - Street 1:8525 SW 92ND ST STE D17
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7378
Practice Address - Country:US
Practice Address - Phone:305-270-0402
Practice Address - Fax:305-595-6179
Is Sole Proprietor?:No
Enumeration Date:2009-12-22
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9222901363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner