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Organization

B A R MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANJANA RANA MD (OWNER)
(386) 208-1200
Entity
Organization

Contact information

Practice address
413 5TH AVE NW, JASPER, FL 32052-7801
(386) 792-2985
(386) 792-0833
Mailing address
609 5TH ST SW STE 5, LIVE OAK, FL 32064-2239
(386) 208-1200
(386) 208-1300

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME100798
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME100798
MEDICAL LICENSE
FL
Enumeration date
05/10/2011
Last updated
06/20/2022
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