Provider Demographics
NPI:1558761163
Name:PERSON, BARBARA CAROL (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:CAROL
Last Name:PERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:CAROL
Other - Last Name:WOLF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:809 PINE ST
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-6047
Mailing Address - Country:US
Mailing Address - Phone:352-326-5961
Mailing Address - Fax:352-365-6438
Practice Address - Street 1:809 PINE STREET
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748
Practice Address - Country:US
Practice Address - Phone:352-250-9526
Practice Address - Fax:352-365-6438
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBW 83748207ZF0201X
FLME83748207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology