Provider Demographics
NPI:1821089756
Name:BARNES, CATHY BUONO (MD)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:BUONO
Last Name:BARNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 STARKEY BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-2175
Mailing Address - Country:US
Mailing Address - Phone:727-375-1004
Mailing Address - Fax:727-376-5435
Practice Address - Street 1:3000 STARKEY BLVD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-2175
Practice Address - Country:US
Practice Address - Phone:727-375-1004
Practice Address - Fax:727-376-5435
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME54354207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL258587100Medicaid
2132506OtherAETNA
275172OtherAVMED
5900215OtherGHI
7794213OtherAETNA
2132506OtherAETNA
7794213OtherAETNA
7794213OtherAETNA