Organization
BAY CENTRAL MEDICAL GROUP
Active
Other names
Infante Medical Office
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL ROLLAND (OFFICE MANAGER)
(813) 873-1725
Entity
Organization
Contact information
Practice address
4712 N ARMENIA AVE, SUITE 102, TAMPA, FL 33603-2611
(813) 873-1725
(813) 873-2924
Mailing address
4712 N ARMENIA AVE, SUITE 102, TAMPA, FL 33603-2611
(813) 873-1725
(813) 873-2924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME 95998
FL
208000000X
Pediatrics Physician
Primary
ME 59316
FL
208000000X
Pediatrics Physician
ME 80860
FL
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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