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BAYCARE MEDICAL GROUP PEDIATRIC WALK-IN LLC NPI 1679724488


NPI Information

NPI: 1679724488
Provider Name: BAYCARE MEDICAL GROUP PEDIATRIC WALK-IN, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
4902 EISENHOWER BLVD
SUITE 300
TAMPA, FL
ZIP 33634
Phone: (813) 636-2044
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BAYCARE MEDICAL GROUP PEDIATRIC WALK-IN, LLC is a pediatrics in Tampa, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BAYCARE MEDICAL GROUP PEDIATRIC WALK-IN, LLC NPI is 1679724488. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4902 EISENHOWER BLVD
SUITE 300
TAMPA, FL
ZIP 33634-310
Phone: (813) 636-2044
Fax: (813) 321-6998

The provider's authorized official is Tommy Inzena .
The authorized official title is President/ceo and has the following contact phone number (813) 636-2044.

The enumeration date for this NPI number is 10/10/2008 and was last updated on 1/6/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2208000000XPediatricsYes

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: 4/28/2024

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