Provider Demographics
NPI:1609921543
Name:BARNETT, DEBRA M (MD)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:M
Last Name:BARNETT
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:14437 UNIVERSITY COVE PL
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-3741
Mailing Address - Country:US
Mailing Address - Phone:813-972-7946
Mailing Address - Fax:813-975-9769
Practice Address - Street 1:14437 UNIVERSITY COVE PL
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-3741
Practice Address - Country:US
Practice Address - Phone:813-972-7946
Practice Address - Fax:813-975-9769
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL585062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF63788Medicare UPIN