Provider Demographics
NPI:1689949216
Name:BARNES AND BARNES MD
Entity Type:Organization
Organization Name:BARNES AND BARNES MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:727-375-1004
Mailing Address - Street 1:3000 STARKEY BLVD
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-2175
Mailing Address - Country:US
Mailing Address - Phone:727-375-1004
Mailing Address - Fax:
Practice Address - Street 1:3000 STARKEY BLVD
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-2175
Practice Address - Country:US
Practice Address - Phone:727-375-1004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-15
Last Update Date:2012-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFLME0054354207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL34469OtherBCBS FLORIDA
FL080031707OtherRAILROAD MEDICARE
FL258587100Medicaid
FL080031707OtherRAILROAD MEDICARE