Healthcare Provider Details

I. General information

NPI: 1407714892
Provider Name (Legal Business Name): SWEETBAY HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8128 FRONT BEACH RD STE K
PANAMA CITY BEACH FL
32407-4842
US

IV. Provider business mailing address

138 COTTONWOOD CIR
LYNN HAVEN FL
32444-4776
US

V. Phone/Fax

Practice location:
  • Phone: 731-707-1627
  • Fax:
Mailing address:
  • Phone: 731-707-1627
  • Fax: 731-707-1627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: IRINA MAYBERRY
Title or Position: DIRECTOR
Credential: APRN
Phone: 731-707-1627