Bayside Internal Medicine | |
13787 Belcher Rd S Suite 100 Largo FL 33771-4065 | |
(727) 535-9899 | |
(727) 535-2818 |
Full Name | Bayside Internal Medicine |
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Speciality | Internal Medicine |
Location | 13787 Belcher Rd S, Largo, Florida |
Authorized Official Name and Position | Tommie Betancourt (PRESIDENT) |
Authorized Official Contact | 7277988298 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bayside Internal Medicine 13787 Belcher Rd S Suite 100 Largo FL 33771-4065 Ph: (727) 535-9899 | Bayside Internal Medicine 13787 Belcher Rd S Suite 100 Largo FL 33771-4065 Ph: (727) 535-9899 |
NPI Number | 1508144957 |
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Provider Enumeration Date | 08/02/2011 |
Last Update Date | 08/02/2011 |
Identifier | Type | State | Issuer |
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1508144957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS11010 (Florida) | Primary |
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