Individual
MS. NORMA JEAN BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5251 SE 113TH ST, BELLEVIEW, FL 34420-3933
(352) 307-9720
Mailing address
5251 SE 113TH ST, BELLEVIEW, FL 34420-3933
(352) 502-4159
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA15155
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C-6384
BC/BS PROVIDER NUMBER
FL
01
—
MA15155
MASSAGE LICENSE NUMBER
FL
Enumeration date
11/01/2006
Last updated
07/08/2007
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