Organization
BAY FAMILY MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN H ARMISTEAD M.D. (PRESIDENT)
(850) 763-3635
Entity
Organization
Contact information
Practice address
2420 JENKS AVE, SUITE 5, PANAMA CITY, FL 32405-4909
(850) 763-3635
(850) 763-4448
Mailing address
PO BOX 97, LYNN HAVEN, FL 32444-0097
(850) 763-3635
(850) 763-4448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME92110
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64058
BCBS FLORIDA
FL
Enumeration date
07/21/2006
Last updated
08/22/2020
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