Individual
MRS. MAYRA BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8418 LAKE BOSSE DR., ORLANDO, FL 32810
(407) 595-9505
(407) 292-8470
Mailing address
8418 LAKE BOSSE DR., ORLANDO, FL 32810
(407) 595-9505
(407) 292-8470
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA53355
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000696800
—
FL
Enumeration date
06/24/2009
Last updated
06/24/2009
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