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General NPI Number Information
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NPI Number | 1407714892
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Entity Type | Organization
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Legal Business Name | SWEETBAY HEALTH AND WELLNESS
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 8128 FRONT BEACH RD STE K
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32407-4842
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Country | US
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Telephone | 731-707-1627
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Fax |
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Provider Business Mailing Address
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Address Line | 138 COTTONWOOD CIR
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City | LYNN HAVEN
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State | FL
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Zip | 32444-4776
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Country | US
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Telephone | 731-707-1627
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Fax | 731-707-1627
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Authorized Official
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Title or Position | DIRECTOR
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Name | IRINA MAYBERRY
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Credential | APRN
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Telephone | 731-707-1627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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