| Bailey Family Practice | |
|
101 E Wisconsin Ave Bonifay FL 32425-1809 | |
| (850) 547-2209 | |
| (850) 547-4521 |
| Full Name | Bailey Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 101 E Wisconsin Ave, Bonifay, Florida |
| Authorized Official Name and Position | Leisa Hill Bailey (OWNER) |
| Authorized Official Contact | 8505472209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bailey Family Practice 101 E Wisconsin Ave Bonifay FL 32425-1809 Ph: (850) 547-2209 | Bailey Family Practice 101 E Wisconsin Ave Bonifay FL 32425-1809 Ph: (850) 547-2209 |
| NPI Number | 1043231780 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 05/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043231780 | NPI | - | NPPES |
| 379115700 | Medicaid | FL | |
| 40620 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0063592 (Florida) | Primary |
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