| Baya Clinical Services Llc | |
|
780 Se Baya Dr Lake City FL 32025-5403 | |
| (386) 755-6677 | |
| Not Available |
| Full Name | Baya Clinical Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 780 Se Baya Dr, Lake City, Florida |
| Authorized Official Name and Position | Ashley (aj) S Ward (MANAGER) |
| Authorized Official Contact | 3862885067 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baya Clinical Services Llc 780 Se Baya Dr Lake City FL 32025-5403 Ph: (386) 755-6677 | Baya Clinical Services Llc 780 Se Baya Dr Lake City FL 32025-5403 Ph: (386) 755-6677 |
| NPI Number | 1598412744 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 11/15/2023 |
| Medicare PECOS PAC ID | 0042606246 |
|---|---|
| Medicare Enrollment ID | O20220414001241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598412744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael Ukaegbu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427254283 PECOS PAC ID: 1052592128 Enrollment ID: I20140801001019 |
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