Organization
ED BARKER, D.C., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN ED BARKER D.C., LLC (OWNER)
(407) 628-1900
Entity
Organization
Contact information
Practice address
430 LAKE HOWELL RD, MAITLAND, FL 32751-5907
(407) 628-1900
(407) 628-4811
Mailing address
430 LAKE HOWELL RD, MAITLAND, FL 32751-5907
(407) 628-1900
(407) 628-4811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
L09000021705
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88342
MEDICARE PTCAN
FL
Enumeration date
03/16/2009
Last updated
04/09/2013
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