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BAYSIDE FAMILY HEALTHCARE CLEARWATER LLC NPI 1760791859


NPI Information

NPI: 1760791859
Provider Name: BAYSIDE FAMILY HEALTHCARE CLEARWATER, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
107 N MCMULLEN BOOTH RD
CLEARWATER, FL
ZIP 33759
Phone: (727) 504-7073
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BAYSIDE FAMILY HEALTHCARE CLEARWATER, LLC is a family medicine in Clearwater, 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 FAMILY HEALTHCARE CLEARWATER, LLC NPI is 1760791859. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

107 N MCMULLEN BOOTH RD
CLEARWATER, FL
ZIP 33759-450
Phone: (727) 504-7073
Fax: (813) 200-3313

The provider's authorized official is Patrick E Hickey .
The authorized official title is Mgrm and has the following contact phone number (727) 504-7073.

The enumeration date for this NPI number is 10/6/2010 and was last updated on 10/6/2010.


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 MedicineME85120FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1274541100MEDICAIDFLORIDA
2H33704MEDICARE UPINFLORIDA

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

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