Provider Demographics
NPI:1306051263
Name:BARKS, LELIA SAUNDERS (RN, MN, ARNP)
Entity type:Individual
Prefix:MS
First Name:LELIA
Middle Name:SAUNDERS
Last Name:BARKS
Suffix:
Gender:F
Credentials:RN, MN, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 VILLAGE GRN
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-9752
Mailing Address - Country:US
Mailing Address - Phone:407-741-4023
Mailing Address - Fax:
Practice Address - Street 1:11605 N NEBRASKA AVE
Practice Address - Street 2:VA VISN 8 PATIENT SAFETY CENTER
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-5738
Practice Address - Country:US
Practice Address - Phone:813-558-3942
Practice Address - Fax:813-558-3990
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL661662163WR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0400XNursing Service ProvidersRegistered NurseRehabilitation