MEDICARE: JOSEPH DONALD BARTA D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	PO1749	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1083892418	OTHER	FL	FLORIDA FOOT CARE

General Provider Information

NPI Number	:	1225071632
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH DONALD BARTA D.P.M.

Provider Business Mailing Address
First Line	:	5463 COMMERCIAL WAY
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-1110
Country	:	US
Telephone Number	:	352-596-3338
Fax Number	:	352-597-3986

Provider Business Practice Location Address
First Line	:	5463 COMMERCIAL WAY
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-1110
Country	:	US
Telephone Number	:	352-596-3338
Fax Number	:	352-597-3986

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	01/21/2014

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