Provider Demographics
NPI:1184648495
Name:DOBIES, BARRY F (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:F
Last Name:DOBIES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1301 PLANTATION ISLAND DR S
Mailing Address - Street 2:SUITE 104A
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-3109
Mailing Address - Country:US
Mailing Address - Phone:904-471-4441
Mailing Address - Fax:904-471-4489
Practice Address - Street 1:1301 PLANTATION ISLAND DR S
Practice Address - Street 2:SUITE 104A
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32080-3109
Practice Address - Country:US
Practice Address - Phone:904-471-4441
Practice Address - Fax:904-471-4489
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2012-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME63544207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110097386OtherRAILROAD MEDICARE ID#
FL18862OtherBC/BS OF FL
FL18862OtherBC/BS OF FL
FLB45704Medicare UPIN