Provider Demographics
NPI:1285792994
Name:NELEN, BARBARA R (LMT)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:R
Last Name:NELEN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2265 LEE RD STE 221
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-1858
Mailing Address - Country:US
Mailing Address - Phone:407-599-0200
Mailing Address - Fax:
Practice Address - Street 1:2265 LEE RD STE 221
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-1858
Practice Address - Country:US
Practice Address - Phone:407-599-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA0021704174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist