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Organization
BARNETT FACIAL PLASTIC & RECONSTRUCTIVE SURGERY, PA.
Active
Organization
BARNETT FACIAL PLASTIC & RECONSTRUCTIVE SURGERY, PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD JOHN BARNETT M.D. (PRESIDENT)
(504) 914-7696
Entity
Organization
Contact information
Practice address
1032 MAR WALT DR, SUITE 100, FORT WALTON BEACH, FL 32547-6661
(504) 914-7696
Mailing address
182 BEACH RETREAT PL, MIRAMAR BEACH, FL 32550-8272
(504) 914-7696
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
NULL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
12/16/2013
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