BAYSIDE MEDICAL OF NORTHWEST FL LLC NPI 1821647314

NPI Information

NPI: 1821647314
Provider Name: BAYSIDE MEDICAL OF NORTHWEST FL LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
101 GOOD MORNING ST STE 109B
PORT SAINT JOE, FL
ZIP 32456
Phone: (850) 357-8192
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BAYSIDE MEDICAL OF NORTHWEST FL LLC is a family nurse practitioner in Port Saint Joe, FL. BAYSIDE MEDICAL OF NORTHWEST FL LLC NPI is 1821647314. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

101 GOOD MORNING ST STE 109B
PORT SAINT JOE, FL
ZIP 32456-765
Phone: (850) 357-8192
Fax: (850) 659-9565

The provider's authorized official is Brittany G Mccroan .
The authorized official title is Owner and has the following contact phone number (850) 357-8192.

The enumeration date for this NPI number is 9/6/2019 and was last updated on 3/18/2024.

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	363LF0000X	Nurse Practitioner	Family			Yes

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: 5/5/2024

NPI Synchronization or Removal

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