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MTM SPECIALIST
NPI 1467188953
Family Medicine in Bonifay, FL

Active since July 27, 2022
123 J HARVEY ETHRIDGE ST, BONIFAY, FL 32425(850) 591-9694 Get Directions Write a Review

NPPES record last updated: March 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2023, Jul 27, 2022 (2 updates tracked since 2022).

About Mtm Specialist NPPES

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

MTM SPECIALIST (NPI 1467188953) is a healthcare organization registered as a family medicine in Bonifay, Florida and active in the NPI registry since July 2022. The organization lists Mark Byington, Manager, as its authorized official.

NPPES Registry Identity

NPI1467188953
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMTM SPECIALIST
Location Address123 J HARVEY ETHRIDGE STBonifay, FL 32425-2104
Mailing Address1423 Conservancy Dr ETallahassee, FL 32312-6772
Phone(850) 591-9694
Organization SubpartNo
Authorized OfficialMark ByingtonManager · (850) 591-9694
Enumeration DateJuly 27, 2022
Last NPPES UpdateMarch 8, 20232 updates tracked since enumeration
NPPES CertifiedMarch 8, 2023
✔ NPI 1467188953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
123 J HARVEY ETHRIDGE ST, Bonifay, FL 32425
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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 Mtm Specialist's NPI number?

The NPI number for Mtm Specialist is 1467188953. It was assigned to this organization in the NPPES registry on July 27, 2022.

Where is Mtm Specialist located?

Mtm Specialist is located at 123 J Harvey Ethridge St, Bonifay, FL 32425. The listed phone number is (850) 591-9694.

What is Mtm Specialist's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mtm Specialist was last updated on March 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.