MEDICARE: MARINA BARKOV MD

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	207R00000X	Internal Medicine Physician	ME84872	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110242323	OTHER	FL	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1790765469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARINA BARKOV MD

Provider Business Mailing Address
First Line	:	4226 CENTRAL AVE
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33711-1140
Country	:	US
Telephone Number	:	727-321-3915
Fax Number	:

Provider Business Practice Location Address
First Line	:	4226 CENTRAL AVE
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33711-1140
Country	:	US
Telephone Number	:	727-321-3915
Fax Number	:	727-328-0975

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

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	12/03/2013

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Directions to “ MARINA BARKOV MD” Practice Location

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