Organization
VELA TIDE PLLC
Active
Other names
drjfab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH FABRY DC FNP (MANAGER)
(512) 744-8674
Entity
Organization
Contact information
Practice address
22606 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32413-1150
(850) 809-8901
(850) 732-8666
Mailing address
22606 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32413-1150
(850) 809-8901
(850) 732-8666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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