Provider Demographics
NPI:1659393742
Name:BARKSDALE, SARAH KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:KAY
Last Name:BARKSDALE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:377 8TH ST
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32233-5435
Mailing Address - Country:US
Mailing Address - Phone:904-962-0342
Mailing Address - Fax:904-247-6851
Practice Address - Street 1:880 HIGHWAY A1A
Practice Address - Street 2:SUITE 14
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082
Practice Address - Country:US
Practice Address - Phone:904-962-0342
Practice Address - Fax:904-247-6851
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 88373207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLG32967Medicare UPIN