Provider Demographics
NPI:1518135896
Name:BARRY F DOBIES MD PA
Entity Type:Organization
Organization Name:BARRY F DOBIES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:DOT
Authorized Official - Middle Name:M
Authorized Official - Last Name:AEPPLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-471-4441
Mailing Address - Street 1:1301 PLANTATION ISLAND DRIVE
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME63544207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDH0998OtherRAILROAD MEDICARE
FLB45704Medicare UPIN
FLAI630Medicare PIN