Mathis Dream LLC

NPI #1164649703 in Baker, Florida

Provider Information

NPI Number
1164649703
Entity Type
Organization
Organization Name
Mathis Dream LLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Apr 18, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1321 GEORGIA AVE
City
Baker
State
Florida
ZIP Code
32531-2605
Phone
(850) 537-2700

Authorized Official

Name
MRS. DEBRA LYNN MATHIS, ARNP
Title
OWNER- NURSE PRACTITIONER
Phone
(850) 537-2700

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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