| Baycare Medical Group Pediatric Walk-in, Llc | |
|
4902 Eisenhower Blvd Suite 300 Tampa FL 33634-6310 | |
| (813) 636-2044 | |
| (813) 321-6998 |
| Full Name | Baycare Medical Group Pediatric Walk-in, Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 4902 Eisenhower Blvd, Tampa, Florida |
| Authorized Official Name and Position | Tommy Inzena (PRESIDENT/CEO) |
| Authorized Official Contact | 8136362044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baycare Medical Group Pediatric Walk-in, Llc Po Box 743409 Atlanta GA 30374-3409 Ph: (727) 532-0002 | Baycare Medical Group Pediatric Walk-in, Llc 4902 Eisenhower Blvd Suite 300 Tampa FL 33634-6310 Ph: (813) 636-2044 |
| NPI Number | 1679724488 |
|---|---|
| Provider Enumeration Date | 10/10/2008 |
| Last Update Date | 01/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679724488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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