Provider Demographics
NPI:1427166115
Name:BAREFOOT DOCTORS HEALTHCARE FLORENCE PLLC
Entity type:Organization
Organization Name:BAREFOOT DOCTORS HEALTHCARE FLORENCE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JATINDER
Authorized Official - Middle Name:K
Authorized Official - Last Name:SONI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-941-9210
Mailing Address - Street 1:PO BOX 2866
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AZ
Mailing Address - Zip Code:85232
Mailing Address - Country:US
Mailing Address - Phone:520-868-0250
Mailing Address - Fax:520-868-0356
Practice Address - Street 1:1402 N MILLER RD
Practice Address - Street 2:#C-5
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257
Practice Address - Country:US
Practice Address - Phone:480-941-9210
Practice Address - Fax:480-941-9209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ515710207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
H27690Medicare UPIN
AZ63510Medicare ID - Type Unspecified