MEDICARE: DR. ARTHUR A BARLIS M.D. PA

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	174400000X	Specialist	ME0016744	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1275538688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR A BARLIS M.D. PA

Provider Business Mailing Address
First Line	:	601 MAIN ST
Second Line	:
City	:	DUNEDIN
State	:	FL
Zip	:	34698-5848
Country	:	US
Telephone Number	:	727-734-6593
Fax Number	:

Provider Business Practice Location Address
First Line	:	646 VIRGINIA ST
Second Line	:
City	:	DUNEDIN
State	:	FL
Zip	:	34698-6612
Country	:	US
Telephone Number	:	727-734-6593
Fax Number	:	727-736-5866

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	03/17/2010

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