MEDICARE: DR. MATTHEW DAVID BARKER MD

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	207P00000X	Emergency Medicine Physician	C131787	CA
2	2083A0100X	Aerospace Medicine Physician	200400185	NC
3	207P00000X	Emergency Medicine Physician	200400185	NC

General Provider Information

NPI Number	:	1689653651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW DAVID BARKER MD

Provider Business Mailing Address
First Line	:	2080 CHILD STREET
Second Line	:	EMERGENCY MEDICINE DEPARTMENT
City	:	JACKSONVILLE
State	:	FL
Zip	:	32214-0001
Country	:	US
Telephone Number	:	904-542-7345
Fax Number	:

Provider Business Practice Location Address
First Line	:	2080 CHILD STREET
Second Line	:	EMERGENCY MEDICINE DEPARTMENT
City	:	JACKSONVILLE
State	:	FL
Zip	:	32214-0001
Country	:	US
Telephone Number	:	904-542-7345
Fax Number	:

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

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	08/10/2021

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