Healthcare Provider Details

I. General information

NPI: 1427166115
Provider Name (Legal Business Name): BAREFOOT DOCTORS HEALTHCARE FLORENCE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1402 N MILLER RD #C-5
SCOTTSDALE AZ
85257
US

IV. Provider business mailing address

PO BOX 2866
FLORENCE AZ
85232
US

V. Phone/Fax

Practice location:
  • Phone: 480-941-9210
  • Fax: 480-941-9209
Mailing address:
  • Phone: 520-868-0250
  • Fax: 520-868-0356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number515710
License Number StateAZ

VIII. Authorized Official

Name: MR. JATINDER K SONI
Title or Position: CO-OWNER
Credential: MD
Phone: 480-941-9210