Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | TRN28611 | FL |
NPI | 1013478403 |
---|---|
Provider Name | David William Barton |
First Address | Jacksonville, FL 32209 |
Second Address | Jacksonville, FL 32209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2019 |
Last Update Date | 18/10/2019 |