| Bay Area Mobile Clinic Llc | |
|
15000 Citrus Country Dr # 414 Dade City FL 33523-6014 | |
| (813) 924-8911 | |
| Not Available |
| Full Name | Bay Area Mobile Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15000 Citrus Country Dr # 414, Dade City, Florida |
| Authorized Official Name and Position | Junise Belizaire (OWNER) |
| Authorized Official Contact | 8139248911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Mobile Clinic Llc 15000 Citrus Country Dr # 414 Dade City FL 33523-6014 Ph: () - | Bay Area Mobile Clinic Llc 15000 Citrus Country Dr # 414 Dade City FL 33523-6014 Ph: (813) 924-8911 |
| NPI Number | 1235637398 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 03/30/2021 |
| Medicare PECOS PAC ID | 0840554234 |
|---|---|
| Medicare Enrollment ID | O20180511000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235637398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Junise Francois Belizaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518306810 PECOS PAC ID: 0547403685 Enrollment ID: I20130821000550 |
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