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General NPI Number Information
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NPI Number | 1053610550
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Entity Type | Organization
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Legal Business Name | DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A.
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Dates
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Enumeration Date | 03/23/2011
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 100 N RICHARD JACKSON BLVD STE 140
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-2517
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Country | US
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Telephone | 850-769-1668
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Fax | 850-785-2123
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Provider Business Mailing Address
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Address Line | 1900 HARRISON AVE
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City | PANAMA CITY
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State | FL
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Zip | 32405-4542
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Country | US
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Telephone | 850-769-1668
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Fax | 850-785-2123
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER WOLFE
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Credential | DO
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Telephone | 850-769-1668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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