BAY SURGICAL SPECIALISTS LLC NPI 1457348237

NPI Information

  • NPI: 1457348237
  • Provider Name: BAY SURGICAL SPECIALISTS, LLC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Former Legal Business Name: BAY SURGICAL SPECIALISTS, PA
  • Address: 960 7TH AVE N
    ST PETERSBURG, FL
    ZIP 33705
  • Phone: (727) 821-8101

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NPI Details

BAY SURGICAL SPECIALISTS, LLC is a vascular surgery surgery in St Petersburg, FL. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. BAY SURGICAL SPECIALISTS, LLC NPI is 1457348237. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Bay Surgical Specialists, Pa.

The provider's business location address is:

960 7TH AVE N
ST PETERSBURG, FL
ZIP 33705-347
Phone: (727) 821-8101
Fax: (727) 894-8360

The provider's authorized official is Jade Duncanson .
The authorized official title is Practice Administrator and has the following contact phone number (727) 821-8101.

The enumeration date for this NPI number is 10/5/2005 and was last updated on 1/7/2025.

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
12086S0129XSurgeryVascular SurgeryYes

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
1267796200MEDICAIDFLORIDA

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: 11/21/2025

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