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NPI Code Detail

MEDICARE: BARRY L EFRON DPM

MEDICARE:   BARRY L EFRON  DPM
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
1213E00000XPodiatristP00001160FL
2213ES0103XFoot & Ankle Surgery PodiatristPO1160FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205823499
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARRY L EFRON DPM
Provider Business Mailing Address
First Line : 2140 KINGSLEY AVE STE 12
Second Line :
City : ORANGE PARK
State : FL
Zip : 32073-5129
Country : US
Telephone Number : 904-272-7070
Fax Number : 904-272-3668
Provider Business Practice Location Address
First Line : 2140 KINGSLEY AVE
Second Line : STE 12
City : ORANGE PARK
State : FL
Zip : 32073
Country : US
Telephone Number : 904-272-7070
Fax Number : 904-272-3668
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2005
Last Update Date : 12/17/2020

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Directions to “ BARRY L EFRON DPM” Practice Location

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