Provider Demographics
NPI:1023018744
Name:BARNES, NATHALIE MARTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHALIE
Middle Name:MARTINE
Last Name:BARNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5258 LINTON BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6540
Mailing Address - Country:US
Mailing Address - Phone:561-495-5303
Mailing Address - Fax:561-495-8316
Practice Address - Street 1:5258 LINTON BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6540
Practice Address - Country:US
Practice Address - Phone:561-495-5303
Practice Address - Fax:561-495-8316
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-22
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME82831208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH45034Medicare UPIN