Provider Demographics
NPI:1871361204
Name:BARRIE, KARLA
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:BARRIE
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 1:1107 LAKE BALDWIN LN UNIT 102
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6814
Mailing Address - Country:US
Mailing Address - Phone:561-350-7305
Mailing Address - Fax:
Practice Address - Street 1:1107 LAKE BALDWIN LN UNIT 102
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6814
Practice Address - Country:US
Practice Address - Phone:561-350-7305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-14
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic