Healthcare Provider Details

I. General information

NPI: 1447391065
Provider Name (Legal Business Name): HEALING ARTS URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 07/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 HEALTH PARK BLVD SUITE 1
ST AUGUSTINE FL
32086-3701
US

IV. Provider business mailing address

120 HEALTH PARK BLVD SUITE 1
ST AUGUSTINE FL
32086-3701
US

V. Phone/Fax

Practice location:
  • Phone: 904-823-3401
  • Fax: 904-829-8649
Mailing address:
  • Phone: 904-823-3401
  • Fax: 904-829-8649

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DUDLEY ATKIN BARINGER
Title or Position: PRESIDENT
Credential: M.D.
Phone: 904-823-3401