Provider Demographics
NPI:1770618142
Name:BARTE, NEIL QUIRANTE (PT)
Entity type:Individual
Prefix:
First Name:NEIL
Middle Name:QUIRANTE
Last Name:BARTE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13163 ENCHANTMENT DR
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:34609-1554
Mailing Address - Country:US
Mailing Address - Phone:352-684-7320
Mailing Address - Fax:352-684-7320
Practice Address - Street 1:13163 ENCHANTMENT DR
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34609-1554
Practice Address - Country:US
Practice Address - Phone:352-684-7320
Practice Address - Fax:352-684-7320
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT012410225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist