| Bayside Clinic | |
|
8488 W. Hillsborough Avenue Tampa FL 33615 | |
| (813) 889-9800 | |
| (813) 889-9566 |
| Full Name | Bayside Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8488 W. Hillsborough Avenue, Tampa, Florida |
| Authorized Official Name and Position | Marta M Fiallo (OPERATIONS EXECUTIVE) |
| Authorized Official Contact | 7864415660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Clinic Po Box 144640 Coral Gables FL 33114-4640 Ph: (786) 441-5660 | Bayside Clinic 8488 W. Hillsborough Avenue Tampa FL 33615 Ph: (813) 889-9800 |
| NPI Number | 1043429053 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043429053 | NPI | - | NPPES |
| 274541100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME85120 (Florida) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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