Provider Demographics
NPI:1457576720
Name:SPECHT, BARBARA ANNE (AP, MA)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANNE
Last Name:SPECHT
Suffix:
Gender:F
Credentials:AP, MA
Other - Prefix:
Other - First Name:KAMALA
Other - Middle Name:
Other - Last Name:SPECHT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:15808 NW 90TH ST
Mailing Address - Street 2:
Mailing Address - City:ALACHUA
Mailing Address - State:FL
Mailing Address - Zip Code:32615-5076
Mailing Address - Country:US
Mailing Address - Phone:386-462-6380
Mailing Address - Fax:
Practice Address - Street 1:15808 NW 90TH ST
Practice Address - Street 2:
Practice Address - City:ALACHUA
Practice Address - State:FL
Practice Address - Zip Code:32615-5076
Practice Address - Country:US
Practice Address - Phone:386-462-6380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1439171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist