Individual
DR. BARBARA J. BOURLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
1106 DRUID RD S, SUITE 302, CLEARWATER, FL 33756-3846
(727) 441-3711
Mailing address
PO BOX 917368, ORLANDO, FL 32891-7368
(727) 793-9300
(727) 793-0052
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME49024
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02865
BCBS
FL
05
—
035183100
—
FL
Enumeration date
10/24/2005
Last updated
11/24/2009
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