Provider Demographics
NPI:1821368697
Name:BARBERA, ERIC MARC (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:MARC
Last Name:BARBERA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 SHAMROCK BLVD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34293-1629
Mailing Address - Country:US
Mailing Address - Phone:941-497-7400
Mailing Address - Fax:813-342-7926
Practice Address - Street 1:114 SHAMROCK BLVD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34293-1629
Practice Address - Country:US
Practice Address - Phone:941-497-7400
Practice Address - Fax:813-342-7926
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10481111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFW917AMedicare PIN