Provider Demographics
NPI:1982690418
Name:BARNHART, SCOTT DAVID (DC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:DAVID
Last Name:BARNHART
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 135818
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34713-5818
Mailing Address - Country:US
Mailing Address - Phone:352-394-7771
Mailing Address - Fax:352-394-7784
Practice Address - Street 1:109 LAKE DAVENPORT BLVD
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33897-9405
Practice Address - Country:US
Practice Address - Phone:863-256-5030
Practice Address - Fax:863-256-5531
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8554111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL89280OtherBCBS
FL381786500Medicaid
FLK5728Medicare ID - Type Unspecified
FL89280OtherBCBS