BAYSIDE MEDICAL PRACTICE OF VILANO BEACH LLC is a primary care clinic center in St Augustine, FL. BAYSIDE MEDICAL PRACTICE OF VILANO BEACH LLC NPI is 1760168330. The provider is registered as an organization entity type.
The provider's business location address is:
101 YACHT CLUB DR
ST AUGUSTINE, FL
ZIP 32084-196
Phone: (904) 217-4550
The provider's authorized official is Tammy Rowland Dye .
The authorized official title is President and has the following contact phone number (305) 916-0183.
The CLIA number assigned to this NPI record is 10D2293750 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/27/2023 and was last updated on 2/5/2024.