Provider Demographics
NPI:1104866169
Name:BARKIN, JAMIE S (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:S
Last Name:BARKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1120 NW 14TH ST
Mailing Address - Street 2:11TH FLOOR CRB, ROOM 1116
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2107
Mailing Address - Country:US
Mailing Address - Phone:305-243-8644
Mailing Address - Fax:305-243-3762
Practice Address - Street 1:1120 NW 14TH ST
Practice Address - Street 2:11TH FLOOR CRB, ROOM 1116
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2107
Practice Address - Country:US
Practice Address - Phone:305-243-8644
Practice Address - Fax:305-243-3762
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME17747207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL040715100Medicaid
FL040715100Medicaid
FL92164YMedicare ID - Type Unspecified