Provider Demographics
NPI:1477577252
Name:BARKER, DANIEL ROBERT
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ROBERT
Last Name:BARKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4121 SE 18TH AVE
Mailing Address - Street 2:#B
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-6010
Mailing Address - Country:US
Mailing Address - Phone:239-540-1846
Mailing Address - Fax:239-540-1846
Practice Address - Street 1:4121 SE 18TH AVE
Practice Address - Street 2:#B
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-6010
Practice Address - Country:US
Practice Address - Phone:239-540-1846
Practice Address - Fax:239-540-1846
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0600659152246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy