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BAKER FAMILY MEDICAL CLINIC
NPI 1164649703
Nurse Practitioner - Family in Baker, FL

Active since April 18, 2007
1321 GEORGIA AVE, BAKER, FL 32531(850) 537-2700(850) 537-2702 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Baker Family Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAKER FAMILY MEDICAL CLINIC (NPI 1164649703) is a healthcare organization registered as a family in Baker, Florida and active in the NPI registry since April 2007. The organization lists Debra Lynn Mathis, Owner- Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1164649703
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMATHIS DREAM LLC
Location Address1321 GEORGIA AVEBaker, FL 32531-2605
Mailing Address1321 Georgia AveBaker, FL 32531-2605 · (850) 537-2700 · Fax (850) 537-2702
Phone(850) 537-2700
Fax(850) 537-2702
Organization SubpartNo
Authorized OfficialDebra Lynn MathisOwner- Nurse Practitioner · (850) 537-2700
Enumeration DateApril 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164649703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP 1427202
1321 GEORGIA AVE, Baker, FL 32531
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Other Names 1

Doing Business AsBaker Family Medical Clinic

Other Identifiers 1

Other3600100732600FL · Occupational License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAKER FAMILY MEDICAL CLINIC
Family Medicine
1321 GEORGIA AVE
BAKER, FL 32531
Okaloosa County (850) 537-2700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mathis Dream LLC's NPI number?

The NPI number for Mathis Dream LLC is 1164649703. It was assigned to this organization in the NPPES registry on April 18, 2007. The provider is doing business as Baker Family Medical Clinic.

Where is Mathis Dream LLC located?

Mathis Dream LLC is located at 1321 Georgia Ave, Baker, FL 32531. The listed phone number is (850) 537-2700.

What is Mathis Dream LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mathis Dream LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.