MEDICARE: BARNES HEALTHCARE OF FL LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BX2000X	Oxygen Equipment & Supplies (DME)

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598984460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARNES HEALTHCARE OF FL LLC

Provider Business Mailing Address
First Line	:	PO BOX 1187
Second Line	:
City	:	VALDOSTA
State	:	GA
Zip	:	31603-1187
Country	:	US
Telephone Number	:	229-245-6039
Fax Number	:	888-276-7881

Provider Business Practice Location Address
First Line	:	8638 PHILIPS HWY
Second Line	:	STE 1 & 2 BLDG 3
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-1231
Country	:	US
Telephone Number	:	904-301-1050
Fax Number	:

Authorized Official
Title or Position	:	OWNER /CEO
Name	:	CHARLIE BARNES IV
Credential	:
Telephone Number	:	229-245-6039

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	05/21/2020

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