MEDICARE: DR. BARRY F DOBIES M.D.

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
1	207RC0000X	Cardiovascular Disease Physician	ME63544	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110097386	OTHER	FL	RAILROAD MEDICARE ID#

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	18862	OTHER	FL	BC/BS OF FL

General Provider Information

NPI Number	:	1184648495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY F DOBIES M.D.

Provider Business Mailing Address
First Line	:	200 SOUTHPARK BLVD STE 208
Second Line	:
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32086-3129
Country	:	US
Telephone Number	:	904-295-3682
Fax Number	:	904-295-3688

Provider Business Practice Location Address
First Line	:	200 SOUTHPARK BLVD STE 208
Second Line	:
City	:	ST AUGUSTINE
State	:	FL
Zip	:	32086-3129
Country	:	US
Telephone Number	:	904-295-3682
Fax Number	:	904-295-3688

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	06/23/2026

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Directions to “ DR. BARRY F DOBIES M.D.” Practice Location

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