Individual
MATTHEW DAVID BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1222 S ORANGE AVE FL 4, ORLANDO, FL 32806-1215
(321) 841-6444
(321) 843-6432
Mailing address
1222 S ORANGE AVE FL 4, ORLANDO, FL 32806-1215
(321) 841-7856
(321) 843-6432
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9104883
FL
363AM0700X
Medical Physician Assistant
Primary
PA9104883
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008115900
—
FL
Enumeration date
11/30/2010
Last updated
09/21/2023
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