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
PERDIDO BAY FAMILY CARE, LLC
Active
Organization
PERDIDO BAY FAMILY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MITCHELL LEE M.D. (PHYSICIAN OWNER)
(850) 492-2010
Entity
Organization
Contact information
Practice address
10 DOUG FORD DRIVE, PENSACOLA, FL 32507-4307
(850) 492-2010
(850) 492-2012
Mailing address
PO BOX 34307, PENSACOLA, FL 32507-4307
(850) 492-2010
(850) 492-2012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K5362
MEDICARE GROUP NUMBER
FL
Enumeration date
01/16/2008
Last updated
01/16/2008
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