Healthcare Provider Details

I. General information

NPI: 1285643809
Provider Name (Legal Business Name): BAREFOOT DOCTORS HEALTHCARE FLORENCE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 11/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 E SAGUARO ST
FLORENCE AZ
85232
US

IV. Provider business mailing address

PO BOX 2866
FLORENCE AZ
85232-2866
US

V. Phone/Fax

Practice location:
  • Phone: 520-868-0250
  • Fax:
Mailing address:
  • Phone: 520-868-0250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: JATINDER K SONI
Title or Position: PRESIDENT
Credential: MD
Phone: 520-868-0250