Perdido Bay Family Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PERDIDO BAY FAMILY CARE, LLC

Practice address

10 Doug Ford Drive
Pensacola, FL 32507-4307

Phone

(850) 492-2010

Fax

(850) 492-2012

NPI assigned

Jan 16, 2008

Last updated

Jan 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Mitchell Lee, M.D.NPI 1770649675

Title

Physician Owner

Phone

(850) 492-2010

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian M Lee, M.D.

  • Family Medicine Physician
  • Pensacola, FL
  • NPI 1770649675
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1174709489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34307",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325074307",
            "telephone_number": "850-492-2010",
            "fax_number": "850-492-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DOUG FORD DRIVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325074307",
            "telephone_number": "850-492-2010",
            "fax_number": "850-492-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERDIDO BAY FAMILY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "850-492-2010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peoples Hospice and Palliative Care of Florida LLC
• James T Peoples, MD
• Laquetta Delores Peoples, ED. S.
• John Angelo Perciballi, M.D.
• Perdido Bay Dental PA
• Perdido Counseling Professionals, Inc.
• Perdido Dental Associates, PA
• Ruben Jesus Perdomo, CRNA
• Amanda Perdue, APRN, FNP-BC
• Elizabeth Pereira, PT, DPT

• Family Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.