| B A R Medical Corporation | |
|
413 5th Ave Nw Jasper FL 32052-7801 | |
| (386) 792-2985 | |
| (386) 792-0833 |
| Full Name | B A R Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 413 5th Ave Nw, Jasper, Florida |
| Authorized Official Name and Position | Anjana Rana (OWNER) |
| Authorized Official Contact | 3862081200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B A R Medical Corporation 609 5th St Sw Ste 5 Live Oak FL 32064-2239 Ph: (386) 208-1200 | B A R Medical Corporation 413 5th Ave Nw Jasper FL 32052-7801 Ph: (386) 792-2985 |
| NPI Number | 1063704096 |
|---|---|
| Provider Enumeration Date | 05/10/2011 |
| Last Update Date | 06/20/2022 |
| Medicare PECOS PAC ID | 2163898198 |
|---|---|
| Medicare Enrollment ID | O20221017002329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063704096 | NPI | - | NPPES |
| ME100798 | Other | FL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME100798 (Florida) | Primary |
| Provider Name | Anjana Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114199171 PECOS PAC ID: 7719042001 Enrollment ID: I20090220000286 |
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