NPI 1003163155
Matilde Teresa Barksdale
Practice location
- Address
- 5818 NW Beckham CT, Port Saint Lucie, FL 34986-4146
- Phone
- (772) 344-1958
- Fax
- (772) 344-1958
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003163155
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Aug 2012
- Record last updated
- 8 Aug 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.