Frederick Olen Barnum IV
Family Doctor Neuromusculoskeletal Medicine (NMM) and 1 more
11101 W Colonial Dr
Ocoee
, Florida 34761-2977
Frederick Olen Barnum IV
Family Doctor Neuromusculoskeletal Medicine (NMM) and 1 more
11101 W Colonial Dr
Ocoee
, Florida 34761-2977
(407) 574-2880
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Family Doctor
Languages spoken
- English
Location
First Address
- Frederick Olen Barnum IV
- 11101 W Colonial Dr
- Ocoee, FL
- Zip : 34761-2977
- Phone : (407) 574-2880
Second Address
- Frederick Olen Barnum IV
- 11101 W Colonial Dr
- Ocoee, FL
- Zip : 34761-2977
- Phone : (407) 574-2880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS17843 | FL |
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | R8700 | TX |
| Y | 207Q00000X | Family Doctor | BP10058782 | TX |
| N | 207Q00000X | Family Doctor | OS17843 | FL |
| N | 207Q00000X | Family Doctor | R8700 | TX |
National Provider Identifier
| NPI | 1588103659 |
|---|---|
| Provider Name | Frederick Olen Barnum IV |
| First Address | Ocoee, FL 34761-2977 |
| Second Address | Ocoee, FL 34761-2977 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2017 |
| Last Update Date | 23/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.