Healthcare Provider Details

I. General information

NPI: 1629269279
Provider Name (Legal Business Name): JACOB PAUL BARBEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2007
Last Update Date: 03/02/2023
Certification Date: 03/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9318 PANAMA CITY BEACH PKWY
PANAMA CITY FL
32407-4024
US

IV. Provider business mailing address

204 S HARRIS AVE
PANAMA CITY FL
32401-3923
US

V. Phone/Fax

Practice location:
  • Phone: 850-769-8341
  • Fax:
Mailing address:
  • Phone: 865-441-8339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number44414
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME160602
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: