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NPI Code Detail

MEDICARE: BARNES HEALTHCARE OF FL LLC

MEDICARE: BARNES HEALTHCARE OF FL LLC
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
1251E00000XHome Health Agency299993216FL
2332B00000XDurable Medical Equipment & Medical Supplies5780FL
3332BP3500XParenteral & Enteral Nutrition Supplies (DME)5780FL
4332BX2000XOxygen Equipment & Supplies (DME)5780FL
53336H0001XHome Infusion Therapy Pharmacy
63336S0011XSpecialty Pharmacy
7333600000XPharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31053392928OTHERFLMED WAIVER
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053392928
Entity Type Code : Organization
Provider Name (Legal Business Name) : BARNES HEALTHCARE OF FL LLC
Provider Business Mailing Address
First Line : PO BOX 1187
Second Line :
City : VALDOSTA
State : GA
Zip : 31603-1187
Country : US
Telephone Number : 229-245-6039
Fax Number : 888-276-7881
Provider Business Practice Location Address
First Line : 1700 NW 80TH BLVD
Second Line :
City : GAINESVILLE
State : FL
Zip : 32606-9177
Country : US
Telephone Number : 352-333-2525
Fax Number : 352-333-2532
Authorized Official
Title or Position : OWNER/CEO
Name : MR. CHARLIE W BARNES IV
Credential :
Telephone Number : 229-245-6001
Provider Enumeration Date : 11/08/2005
Last Update Date : 05/06/2022

Similar Medicare Providers

1659826246 — DR. CHRISTOPHER POPUN PHARMD
Practice Location Address:
1700 NW 80TH BLVD
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Practice Fax:
1194245670 — BARNES HEALTHCARE OF FL, LLC
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1700 NW 80TH BLVD
GAINESVILLE, FL
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1366954612 — MS. CHRISTY KENNEDY EALY RN
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Practice Fax: 352-333-2525
1083126288 — JENNIFER LYNN MARCINEK PHARMD
Practice Location Address:
1700 NW 80TH BLVD
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Practice Fax: 888-276-7948
1871005033 — ERICA ENGWALL BURKE RPH
Practice Location Address:
1700 NW 80TH BLVD
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32606-9177
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Practice Fax:
1215449319 — SARAH BURCHFIELD BRIANT PHARMD
Practice Location Address:
1700 NW 80TH BLVD
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Practice Fax: 888-276-7948

Directions to “BARNES HEALTHCARE OF FL LLC ” Practice Location

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