Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT4135 | FL |
NPI | 1013917269 |
---|---|
Provider Name | Dr. William Scott Barnett I |
First Address | Gainesville, FL 32605-2263 |
Second Address | Gainesville, FL 32605-2263 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2005 |
Last Update Date | 14/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8880859 | (05) | FL |