Individual
ANTHONY DAVID BARNES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1517 KELLEY AVE, KISSIMMEE, FL 34744-3469
(321) 236-2006
(321) 250-7822
Mailing address
PO BOX 451236, KISSIMMEE, FL 34745-1236
(321) 236-2006
(321) 250-7822
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171W00000X
Contractor
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006489000
—
FL
Enumeration date
09/06/2012
Last updated
09/07/2013
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