Doctor Name: | DR. BARBARA MARIE BUCKLEY |
NPI Number: | 1003167206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | PO3578 |
Business Practice Address: | 115 Shamrock Blvd Venice, FL - 342931630 |
Business Phone Number: | 9414977473 |
Business Fax Number: | |
Mailing Address: | 115 Shamrock Blvd, VENICE |
State: | FL |
Postal Code: | 342931630 |
Phone Number: | 9414977473 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2012 |
NPI Last Update Date: | 07/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO3578 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |