Organization · NPI-2

Bay Family Medicine PA

Family Medicine · Panama City, FL

NPI number1396766911
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1396766911
Entity type
Organization (NPI-2)
Legal business name
Bay Family Medicine PA
Organization subpart
No
Enumeration date
Jul 21, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineME92110FLYes

Practice location

2420 Jenks Ave
Suite 5
Panama City, FL 32405-4909

Phone 850-763-3635 · Fax 850-763-4448

Mailing address

Po Box 97
Lynn Haven, FL 32444-0097

Phone 850-763-3635 · Fax 850-763-4448

Authorized official

Stephen H Armistead
President
8507633635

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