Bay Family Medicine Pa

NPI 1396766911 - Family Medicine - 207Q00000X

NPI Details
NPI 1396766911
Enumeration Date 07/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEPHEN H STEPHEN
Position PRESIDENT
Phone (850) 763-3635
Fax (850) 763-4448
Practice Location
2420 JENKS AVE
SUITE 5
PANAMA CITY FL, 32405-4909, US
Phone (850) 763-3635
Fax (850) 763-4448
Business Location
PO BOX 97
LYNN HAVEN FL, 32444-0097, US
Phone (850) 763-3635
Fax (850) 763-4448
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME92110
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According to our database, Bay Family Medicine Pa NPI is 1396766911, taxonomy code is 207Q00000X and license number is ME92110, license state is located at Florida. Bay Family Medicine Pa physically located at 2420 Jenks Ave, Panama City FL, 32405-4909. NPI Number 1033115704 has the healthcare provider type.

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1396766911 NPI number is provided on an as is basis without warranty of any kind. 1396766911 is maintained by the National Plan & Provider Enumeration System. The contents of Bay Family Medicine Pa are for informational purposes only.