Provider Demographics
NPI:1215996400
Name:BERNIER, ARACELIA (MD)
Entity type:Individual
Prefix:MRS
First Name:ARACELIA
Middle Name:
Last Name:BERNIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 2052
Mailing Address - Street 2:
Mailing Address - City:LYNN HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:32444
Mailing Address - Country:US
Mailing Address - Phone:850-248-7925
Mailing Address - Fax:850-248-7928
Practice Address - Street 1:16181 PANAMA CITY BEACH PKWY
Practice Address - Street 2:
Practice Address - City:PANAMA CITY BEACH
Practice Address - State:FL
Practice Address - Zip Code:32413-5423
Practice Address - Country:US
Practice Address - Phone:850-249-1000
Practice Address - Fax:850-249-1009
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME75917207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106634000Medicaid
FL49130OtherBCBS FLORIDA
FL106634000Medicaid
FL49130ZMedicare PIN