# BARNETT FACIAL PLASTIC & RECONSTRUCTIVE SURGERY, PA.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205175635
- **Authorized official:** RICHARD JOHN BARNETT M.D. (PRESIDENT)
- **Authorized official phone:** (504) 914-7696

## Contact information

- **Practice address:** 1032 MAR WALT DR, SUITE 100, FORT WALTON BEACH, FL 32547-6661
- **Practice address phone:** (504) 914-7696
- **Mailing address:** 182 BEACH RETREAT PL, MIRAMAR BEACH, FL 32550-8272
- **Mailing address phone:** (504) 914-7696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | Yes |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2013
- **Last updated:** 12/16/2013