Healthcare Provider Details

I. General information

NPI: 1487625844
Provider Name (Legal Business Name): MARGUERITE PEARL BARNETT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 10/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 STICKNEY POINT RD
SARASOTA FL
34231-8869
US

IV. Provider business mailing address

1715 STICKNEY POINT RD
SARASOTA FL
34231-8869
US

V. Phone/Fax

Practice location:
  • Phone: 941-927-2447
  • Fax: 941-924-0762
Mailing address:
  • Phone: 941-927-2447
  • Fax: 941-924-0762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberME0057523
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: