Healthcare Provider Details

I. General information

NPI: 1891613097
Provider Name (Legal Business Name): BARBEE MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 HOSPITAL DR
CRESTVIEW FL
32539-7356
US

IV. Provider business mailing address

208 MARY ESTHER BLVD STE D
MARY ESTHER FL
32569-1684
US

V. Phone/Fax

Practice location:
  • Phone: 850-331-3991
  • Fax: 850-634-6166
Mailing address:
  • Phone: 850-362-6182
  • Fax: 850-362-6191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SAMUEL BARBEE
Title or Position: OWNER
Credential: DC
Phone: 850-830-5407