Individual
DUDLEY ATKIN BARINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 HEALTH PARK BLVD, SUITE 1, ST AUGUSTINE, FL 32086-3701
(904) 823-3401
(904) 829-8649
Mailing address
120 HEALTH PARK BLVD, SUITE 1, ST AUGUSTINE, FL 32086-3701
(904) 823-3401
(904) 829-8649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0040283
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20054
OTHER
FL
Enumeration date
11/15/2006
Last updated
07/30/2014
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