Barry, Wayne

Barry, Wayne is an individual health care provider with primary practice located at 1055 Saxon Blvd., Florida Hospital Fish Memorial, Orange City FL 32763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Barry, Wayne can be contacted via phone (386) 917-5434.

Contact Information

Primary practice address
1055 Saxon Blvd., Florida Hospital Fish Memorial Orange City FL 32763
Phone: (386) 917-5434
Fax: (386) 917-5101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME51146 Florida

Profile Details

NPI number 1497794739
LBN Legal business name Barry, Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jun 19th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497794739 NPPES
Florida Other 221871 AMERIGROUP
Florida Other 04618 AMERIGROUP
Florida MEDICAID 257134000 AMERIGROUP
Florida Other P30090443 AMERIGROUP

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