Healthcare Provider Details

I. General information

NPI: 1053610550
Provider Name (Legal Business Name): DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2011
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N RICHARD JACKSON BLVD STE 140
PANAMA CITY BEACH FL
32407-2517
US

IV. Provider business mailing address

1900 HARRISON AVE
PANAMA CITY FL
32405-4542
US

V. Phone/Fax

Practice location:
  • Phone: 850-769-1668
  • Fax: 850-785-2123
Mailing address:
  • Phone: 850-769-1668
  • Fax: 850-785-2123

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTOPHER WOLFE
Title or Position: PRESIDENT
Credential: DO
Phone: 850-769-1668