Provider Demographics
NPI:1689078990
Name:BARNES HEALTHCARE OF FL LLC
Entity Type:Organization
Organization Name:BARNES HEALTHCARE OF FL LLC
Other - Org Name:BARNES HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:W
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:229-245-6039
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31603-0160
Mailing Address - Country:US
Mailing Address - Phone:229-245-6039
Mailing Address - Fax:888-276-7881
Practice Address - Street 1:4500 140TH AVE N
Practice Address - Street 2:SUITE E 212
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33762-3803
Practice Address - Country:US
Practice Address - Phone:229-245-6039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-15
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy