Individual
DR. AUTUMN VICTORIA BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1771
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME169471
FL
208M00000X
Hospitalist Physician
Primary
ME169471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127440100
—
FL
01
—
VR087
MEDICARE HF
FL
Enumeration date
03/25/2022
Last updated
07/16/2025
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