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NPI Code Detail

MEDICARE: JOAQUIN J BARBARA M.D.

MEDICARE:   JOAQUIN J BARBARA  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
1208M00000XHospitalist PhysicianME81166FL
2207R00000XInternal Medicine PhysicianME81166FL
3207R00000XInternal Medicine Physician0101248479VA

Other Identifiers

General Provider Information

NPI Number : 1508867409
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAQUIN J BARBARA M.D.
Provider Business Mailing Address
First Line : 770 W GRANADA BLVD STE 101
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32174-5179
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1055 SAXON BLVD
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-8468
Country : US
Telephone Number : 386-917-7560
Fax Number : 386-917-7293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 01/05/2026

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Directions to “ JOAQUIN J BARBARA M.D.” Practice Location

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