Provider Demographics
NPI:1598256752
Name:BARNES, ANDREW PAUL (DO)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:PAUL
Last Name:BARNES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 W SAINT ISABEL ST STE F
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6350
Mailing Address - Country:US
Mailing Address - Phone:813-935-4744
Mailing Address - Fax:
Practice Address - Street 1:114 W HIGHLAND BLVD
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-4819
Practice Address - Country:US
Practice Address - Phone:352-560-0333
Practice Address - Fax:352-560-0337
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-23
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS19083207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine