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Organization
MICHAEL E. BARNES, MD
Active
Organization
MICHAEL E. BARNES, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL EDWARD BARNES M.D (OWNER)
(850) 639-4036
Entity
Organization
Contact information
Practice address
412 N HIGHWAY 71, WEWAHITCHKA, FL 32465-4061
(850) 639-4036
(850) 639-9318
Mailing address
412 N HIGHWAY 71, PO BOX 160, WEWAHITCHKA, FL 32465-4061
(850) 639-4036
(850) 639-9318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0065092
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225536
STAYWELL
FL
01
—
23728
BLUE CROSS BLUE SHIELD
FL
05
—
378559900
—
FL
Enumeration date
02/19/2015
Last updated
02/19/2015
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