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Organization
BAY AREA INTERNIST INC
Active
Organization
BAY AREA INTERNIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHANUPRASAD PATEL (PRESIDENT)
(727) 526-1775
Entity
Organization
Contact information
Practice address
5520 DR MARTIN LUTHER KING JR ST N, SAINT PETERSBURG, FL 33703-1204
(727) 526-1775
(727) 526-5764
Mailing address
5520 DR MARTIN LUTHER KING JR ST N, SAINT PETERSBURG, FL 33703-1204
(727) 526-1775
(727) 526-5764
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0088299
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269999100
—
FL
Enumeration date
05/24/2007
Last updated
11/29/2012
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