Organization
BAYSIDE INFUSION SERVICES, LLC
Active
Other names
Vital Care of Tampa
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE NEAL PHARMD (OWNER)
(352) 584-0563
Entity
Organization
Contact information
Practice address
8600 HIDDEN RIVER PKWY STE 300, TAMPA, FL 33637-1033
(352) 584-0563
Mailing address
8600 HIDDEN RIVER PKWY STE 300, TAMPA, FL 33637-1033
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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