Provider Demographics
NPI:1538523949
Name:BARKER, LYNCH & HEBBLEWHITE, DO'S, P.A. BARIATRIC MEDICINE
Entity type:Organization
Organization Name:BARKER, LYNCH & HEBBLEWHITE, DO'S, P.A. BARIATRIC MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:813-932-5389
Mailing Address - Street 1:13124 N FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-3474
Mailing Address - Country:US
Mailing Address - Phone:813-932-5389
Mailing Address - Fax:813-932-5306
Practice Address - Street 1:13124 N FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-3474
Practice Address - Country:US
Practice Address - Phone:813-932-5389
Practice Address - Fax:813-932-5306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL053102207Q00000X
FLOS1696207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLD49764Medicare UPIN
FLE32032Medicare UPIN