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Individual

DR. DANVANILLA Q BARNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
400 S BERNER RD # 33440, CLEWISTON, FL 33440-3408
(863) 677-5150
Mailing address
PO BOX 3117, 33440, CLEWISTON, FL 33440
(863) 677-5150

Taxonomy

Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
106H00000X
Marriage & Family Therapist
152WP0200X
Pediatric Optometrist
2036638
FL
172A00000X
Driver
173000000X
Legal Medicine
174200000X
Meals Provider
176B00000X
Midwife
176P00000X
Funeral Director
573289
FL
207PS0010X
Sports Medicine (Emergency Medicine) Physician
573289
FL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
573289
FL
207V00000X
Obstetrics & Gynecology Physician
573289
FL
207VC0300X
Complex Family Planning Physician
2036638
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BLUECROSS
BLUE CROSS
01
HMO
HMO
FL
01
MEDICARE
MEDICARE
FL
Enumeration date
02/27/2023
Last updated
02/27/2023
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