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NPI Code Detail

MEDICARE: MICHAEL EDWARD BARNES M.D.

MEDICARE:   MICHAEL EDWARD BARNES  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
1207Q00000XFamily Medicine PhysicianME0065092FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
123728OTHERFLBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3080135997OTHERFLRAIL ROAD MCARE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942203625
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL EDWARD BARNES M.D.
Provider Business Mailing Address
First Line : PO BOX 160
Second Line :
City : WEWAHITCHKA
State : FL
Zip : 32465-0160
Country : US
Telephone Number : 850-639-4036
Fax Number : 850-639-9318
Provider Business Practice Location Address
First Line : 412 N HIGHWAY 71
Second Line :
City : WEWAHITCHKA
State : FL
Zip : 32465-0412
Country : US
Telephone Number : 850-639-4036
Fax Number : 850-639-9318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 03/12/2008

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Directions to “ MICHAEL EDWARD BARNES M.D.” Practice Location

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