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Organization
BAYSIDE HEALTH HOLDINGS LLC
Active
Organization
BAYSIDE HEALTH HOLDINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON SMITH NP (MANAGING MEMBER)
(443) 373-3245
Entity
Organization
Contact information
Practice address
617 FRANKLIN AVE UNIT 14, BERLIN, MD 21811-1358
(443) 373-3245
Mailing address
617 FRANKLIN AVE UNIT 14, BERLIN, MD 21811-1358
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/02/2026
Last updated
09/02/2026
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