Provider Demographics
NPI:1265752083
Name:BARTON, DEREK ALLEN (DC)
Entity type:Individual
Prefix:DR
First Name:DEREK
Middle Name:ALLEN
Last Name:BARTON
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 1:2000 N ALAFAYA TRL STE 600
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32826-4741
Mailing Address - Country:US
Mailing Address - Phone:407-955-4222
Mailing Address - Fax:
Practice Address - Street 1:2000 N ALAFAYA TRL STE 600
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32826-4741
Practice Address - Country:US
Practice Address - Phone:407-955-4222
Practice Address - Fax:407-955-4222
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0008541111NN0400X
FLCH12097111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology