Provider Demographics
NPI:1285643809
Name:BAREFOOT DOCTORS HEALTHCARE FLORENCE PLLC
Entity Type:Organization
Organization Name:BAREFOOT DOCTORS HEALTHCARE FLORENCE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JATINDER
Authorized Official - Middle Name:K
Authorized Official - Last Name:SONI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-868-0250
Mailing Address - Street 1:PO BOX 2866
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AZ
Mailing Address - Zip Code:85232-2866
Mailing Address - Country:US
Mailing Address - Phone:520-868-0250
Mailing Address - Fax:
Practice Address - Street 1:822 E SAGUARO ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AZ
Practice Address - Zip Code:85232
Practice Address - Country:US
Practice Address - Phone:520-868-0250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZCH9602OtherRAIL ROAD MEDICARE