# VELA TIDE PLLC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** drjfab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700726346
- **Authorized official:** DR. JEREMIAH FABRY DC FNP (MANAGER)
- **Authorized official phone:** (512) 744-8674

## Contact information

- **Practice address:** 22606 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32413-1150
- **Practice address phone:** (850) 809-8901
- **Practice address fax:** (850) 732-8666
- **Mailing address:** 22606 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32413-1150
- **Mailing address phone:** (850) 809-8901
- **Mailing address fax:** (850) 732-8666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2026
- **Last updated:** 04/01/2026