| Bayshore Medical Group P L | |
|
19947 Tamiami Ave Tampa FL 33647-3366 | |
| (813) 716-6959 | |
| Not Available |
| Full Name | Bayshore Medical Group P L |
|---|---|
| Speciality | Internal Medicine |
| Location | 19947 Tamiami Ave, Tampa, Florida |
| Authorized Official Name and Position | Yashitala Agzew (MEMBER) |
| Authorized Official Contact | 8137166959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayshore Medical Group P L 19947 Tamiami Ave Tampa FL 33647-3366 Ph: (813) 716-6959 | Bayshore Medical Group P L 19947 Tamiami Ave Tampa FL 33647-3366 Ph: (813) 716-6959 |
| NPI Number | 1215192372 |
|---|---|
| Provider Enumeration Date | 07/28/2008 |
| Last Update Date | 07/28/2008 |
| Medicare PECOS PAC ID | 7214003417 |
|---|---|
| Medicare Enrollment ID | O20080912000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215192372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Yeshitila Agzew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801813829 PECOS PAC ID: 8729970868 Enrollment ID: I20040325000742 |
Main St Medical Usa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11734 North Dale Mabry, Tampa, FL 33618 Phone: 813-968-6000 Fax: 813-968-6007 | |
Infante Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4712 N Armenia Ave, Suite 102, Tampa, FL 33603 Phone: 813-873-1725 Fax: 813-873-2924 | |
After Care Centers Of Florida Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3424 W Kennedy Blvd, Tampa, FL 33609 Phone: 855-716-3342 | |
Eugene A Ward M.d. Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 E Fletcher Avenue, Suite 310, Tampa, FL 33613 Phone: 813-972-1654 Fax: 813-972-7176 | |
Sarroca Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3709 W Hamilton Ave, Unit 9., Tampa, FL 33614 Phone: 813-374-7608 Fax: 813-374-9124 | |
Simmons Medical Group South Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 Harbour Place Dr Unit 2007, Tampa, FL 33602 Phone: 248-321-6612 Fax: 813-964-6337 | |
N/a Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3225 S Macdill Ave Ste 129-313, Tampa, FL 33629 Phone: 813-200-8857 Fax: 813-200-1319 |