Bay Well Health | |
1 Tampa General Cir Tampa FL 33606-3571 | |
(813) 844-7000 | |
Not Available |
Full Name | Bay Well Health |
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Speciality | Internal Medicine |
Location | 1 Tampa General Cir, Tampa, Florida |
Authorized Official Name and Position | Priya Rathan (OWNER) |
Authorized Official Contact | 8139718500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bay Well Health 1002b S Church Ave Unit 18601 Tampa FL 33679-9124 Ph: (813) 395-0096 | Bay Well Health 1 Tampa General Cir Tampa FL 33606-3571 Ph: (813) 844-7000 |
NPI Number | 1396045738 |
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Provider Enumeration Date | 11/02/2010 |
Last Update Date | 04/30/2019 |
Medicare PECOS PAC ID | 8820266034 |
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Medicare Enrollment ID | O20110713000813 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396045738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME99930 (Florida) | Primary |
Provider Name | Priya Rathan |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1689790487 PECOS PAC ID: 2264600477 Enrollment ID: I20110715000523 |
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