Provider Demographics
NPI:1336102383
Name:BARZEY, JUDY ALLEN-RYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDY
Middle Name:ALLEN-RYAN
Last Name:BARZEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JUDY
Other - Middle Name:
Other - Last Name:ALLEN-RYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:18938 N DALE MABRY HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33548-4904
Mailing Address - Country:US
Mailing Address - Phone:813-573-0064
Mailing Address - Fax:
Practice Address - Street 1:3131 N MCMULLEN BOOTH RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2008
Practice Address - Country:US
Practice Address - Phone:727-726-8871
Practice Address - Fax:727-501-7331
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2024-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 93732207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7831316OtherAETNA
FL023738600Medicaid
FL95NYGOtherFLORIDA BLUE
FL2150440OtherUNITED
FL1901925OtherCIGNA
FLP1015768OtherAVMED