Organization
CHARLES B BARNIV MD PA
Active
Other names
Destin Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES B BARNIV MD (PRESIDENT OWNER)
(850) 837-5181
Entity
Organization
Contact information
Practice address
623 HARBOR BLVD, SUITE 3, DESTIN, FL 32541-2466
(850) 837-5181
Mailing address
PO BOX 1719, DESTIN, FL 32540-1719
(850) 837-5181
(850) 837-6623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02270X30048
RR MEDICARE
FL
01
—
46152
BCBS
FL
Enumeration date
01/10/2006
Last updated
10/15/2007
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