# BAYSIDE REHAB CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Bayside Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184125965
- **Authorized official:** ROBERT LEON (GENERAL MANAGER)
- **Authorized official phone:** (813) 374-2444

## Contact information

- **Practice address:** 7918 W HILLSBOROUGH AVE, TAMPA, FL 33615-4608
- **Practice address phone:** (813) 374-2444
- **Practice address fax:** (813) 644-7040
- **Mailing address:** PO BOX 260246, TAMPA, FL 33685-0246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | FL | Yes |

## Other

- **Enumeration date:** 02/27/2018
- **Last updated:** 03/17/2018