MEDICARE: SWEETBAY HEALTH AND WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician

General Provider Information

NPI Number	:	1407714892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEETBAY HEALTH AND WELLNESS

Provider Business Mailing Address
First Line	:	138 COTTONWOOD CIR
Second Line	:
City	:	LYNN HAVEN
State	:	FL
Zip	:	32444-4776
Country	:	US
Telephone Number	:	731-707-1627
Fax Number	:	731-707-1627

Provider Business Practice Location Address
First Line	:	8128 FRONT BEACH RD STE K
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-4842
Country	:	US
Telephone Number	:	731-707-1627
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	IRINA MAYBERRY
Credential	:	APRN
Telephone Number	:	731-707-1627

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “SWEETBAY HEALTH AND WELLNESS ” Practice Location

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