Provider Demographics
NPI:1982060638
Name:BARBERA, KARLA M (AP DOM)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:M
Last Name:BARBERA
Suffix:
Gender:F
Credentials:AP DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:783 GAINER WAY
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-6517
Mailing Address - Country:US
Mailing Address - Phone:407-948-0478
Mailing Address - Fax:
Practice Address - Street 1:783 GAINER WAY
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-6517
Practice Address - Country:US
Practice Address - Phone:407-948-0478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3633171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist