BAYSIDE HEALTHCARE BRANDON INC NPI 1356532246

NPI Information

NPI: 1356532246
Provider Name: BAYSIDE HEALTHCARE BRANDON, INC

Doing Business As: SUNCOAST TOTAL HEALTHCARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
615 VONDERBURG DR
BRANDON, FL
ZIP 33511
Phone: (813) 654-1856
Get Directions

BAYSIDE HEALTHCARE BRANDON, INC is a family medicine in Brandon, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BAYSIDE HEALTHCARE BRANDON, INC NPI is 1356532246. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Suncoast Total Healthcare.

The provider's business location address is:

615 VONDERBURG DR
BRANDON, FL
ZIP 33511-972
Phone: (813) 654-1856
Fax: (813) 681-7268

The provider's authorized official is Kevin Donofrio .
The authorized official title is President and has the following contact phone number (813) 654-1856.

The enumeration date for this NPI number is 8/6/2007 and was last updated on 8/6/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		HCC6754	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HCC6754	OTHER	FLORIDA	LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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