Individual
FREDERICK OLEN BARNUM IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3148 SOUTHGATE CIR STE 2, SARASOTA, FL 34239-5515
(941) 529-6750
Mailing address
3148 SOUTHGATE CIR STE 2, SARASOTA, FL 34239-5515
(941) 529-6750
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OS17843
FL
207Q00000X
Family Medicine Physician
OS17843
FL
Other
Enumeration date
02/21/2017
Last updated
08/01/2024
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