Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MATHIS DREAM LLC
Active
Organization
MATHIS DREAM LLC
Active
Other names
Baker Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA LYNN MATHIS ARNP (OWNER- NURSE PRACTITIONER)
(850) 537-2700
Entity
Organization
Contact information
Practice address
1321 GEORGIA AVE, BAKER, FL 32531-2605
(850) 537-2700
(850) 537-2702
Mailing address
1321 GEORGIA AVE, BAKER, FL 32531-2605
(850) 537-2700
(850) 537-2702
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 1427202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3600100732600
OCCUPATIONAL LICENSE
FL
Enumeration date
04/18/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up