Individual
HAROLD VAN BARRY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 NW COMMERCE DR, LAKE CITY, FL 32055-4709
(386) 719-9000
Mailing address
345 NW MANSFIELD DR, WHITE SPRINGS, FL 32096-7608
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
9423404
FL
363L00000X
Nurse Practitioner
Primary
APRN11015992
FL
Other
Enumeration date
09/15/2021
Last updated
10/27/2021
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