Organization
TERESA F BARR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA BARR (OWNER)
(352) 901-6288
Entity
Organization
Contact information
Practice address
25406 NW 168TH PL, HIGH SPRINGS, FL 32643-1636
(352) 231-1381
Mailing address
25406 NW 168TH PL, HIGH SPRINGS, FL 32643-1636
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P02074987
RAILROAD MEDICARE
FL
Enumeration date
07/29/2019
Last updated
07/29/2019
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