Organization
BAILEY FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEISA HILL BAILEY M.D. (OWNER)
(850) 547-2209
Entity
Organization
Contact information
Practice address
101 E WISCONSIN AVE, BONIFAY, FL 32425-1809
(850) 547-2209
(850) 547-4521
Mailing address
101 E WISCONSIN AVE, BONIFAY, FL 32425-1809
(850) 547-2209
(850) 547-4521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME0063592
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379115700
—
FL
01
—
40620
BCBS
FL
Enumeration date
07/21/2006
Last updated
05/12/2009
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