OrganizationActive
Mathis Dream LLC
NPI 1164649703 · Family Nurse Practitioner · Baker, FL
Provider details
- NPI number
- 1164649703
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Debra Mathis, Owner- Nurse Practitioner(850) 537-2700
- License
- ARNP 1427202 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1321 Georgia Ave
Baker, FL 32531-2605
Phone: (850) 537-2700
Fax: (850) 537-2702
Approximate (ZIP-level) locationGet directions
Mailing address
1321 Georgia Ave
Baker, FL 32531-2605
Other names (DBA / former)
- Doing business as
- Baker Family Medical Clinic
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.