| Bay Medical Center | |
|
1811 Bayshore Gardens Parkway Bradenton FL 34207 | |
| (941) 755-9550 | |
| (941) 755-8520 |
| Full Name | Bay Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1811 Bayshore Gardens Parkway, Bradenton, Florida |
| Authorized Official Name and Position | Marie Miller (PRACTICE MANAGER) |
| Authorized Official Contact | 9417559550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Medical Center 1811 Bayshore Gardens Parkway Bradenton FL 34207 Ph: (941) 755-9550 | Bay Medical Center 1811 Bayshore Gardens Parkway Bradenton FL 34207 Ph: (941) 755-9550 |
| NPI Number | 1811083405 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 02/20/2017 |
| Medicare PECOS PAC ID | 5890980882 |
|---|---|
| Medicare Enrollment ID | O20101116001108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811083405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0076940 (Florida) | Primary |
| Provider Name | Somashekar Pallegar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619969789 PECOS PAC ID: 2163617168 Enrollment ID: I20101116001120 |
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