| Bayside Medical Group Of Florida | |
|
7918 W Hillsborough Ave Tampa FL 33615-4608 | |
| (813) 374-2444 | |
| (813) 644-7040 |
| Full Name | Bayside Medical Group Of Florida |
|---|---|
| Speciality | Internal Medicine |
| Location | 7918 W Hillsborough Ave, Tampa, Florida |
| Authorized Official Name and Position | Robert Leon (GENERAL MANAGER) |
| Authorized Official Contact | 8133742444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayside Medical Group Of Florida 7918 W Hillsborough Avenue Tampa FL 33615-4608 Ph: (813) 374-2444 | Bayside Medical Group Of Florida 7918 W Hillsborough Ave Tampa FL 33615-4608 Ph: (813) 374-2444 |
| NPI Number | 1558012211 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 11/03/2022 |
| Medicare PECOS PAC ID | 7911376819 |
|---|---|
| Medicare Enrollment ID | O20221216000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558012211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| Provider Name | Juan Carlos Najarro |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1710424320 PECOS PAC ID: 5890065437 Enrollment ID: I20180629001480 |
| Provider Name | Ivette Lucia Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396383998 PECOS PAC ID: 4385706217 Enrollment ID: I20230417001457 |
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