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Organization

BARNES HEALTHCARE OF FL LLC

Active
Other names
Barnes Healthcare Service
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLIE W BARNES IV (OWNER/CEO)
(229) 245-6001
Entity
Organization

Contact information

Practice address
1700 NW 80TH BLVD, GAINESVILLE, FL 32606-9177
(352) 333-2525
(352) 333-2532
Mailing address
PO BOX 1187, VALDOSTA, GA 31603-1187
(229) 245-6039
(888) 276-7881

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
299993216
FL
332B00000X
Durable Medical Equipment & Medical Supplies
5780
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
5780
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
5780
FL
333600000X
Pharmacy
Primary
3336H0001X
Home Infusion Therapy Pharmacy
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102459100
FL
05
102459101
FL
01
1053392928
MED WAIVER
FL
05
105375100
FL
Enumeration date
11/08/2005
Last updated
05/06/2022
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