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Organization
MY TELEVISIT MD LLC
Active
Organization
MY TELEVISIT MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PAUL BAGBY (CEO/AMBR)
(727) 415-2308
Entity
Organization
Contact information
Practice address
5560 ROOSEVELT BOULEVARD, SUITE 4 #50, CLEARWATER, FL 33760
(727) 415-2308
Mailing address
5560 ROOSEVELT BOULEVARD, SUITE 4 #50, CLEARWATER, FL 33760-9228
(727) 415-2308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
163WH0200X
Home Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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