Provider Demographics
NPI:1740154236
Name:BARRERA, JUDY F
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:F
Last Name:BARRERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 DELTONA BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-8069
Mailing Address - Country:US
Mailing Address - Phone:386-262-8044
Mailing Address - Fax:407-650-2754
Practice Address - Street 1:505 DELTONA BLVD STE 102
Practice Address - Street 2:
Practice Address - City:DELTONA
Practice Address - State:FL
Practice Address - Zip Code:32725-8069
Practice Address - Country:US
Practice Address - Phone:386-262-8044
Practice Address - Fax:407-650-2754
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty