Organization
BAYSIDE FAMILY HEALTHCARE CLINIC
Active
Other names
BAYSIDE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTA M FIALLO (OPERATIONS EXECUTIVE)
(786) 441-5660
Entity
Organization
Contact information
Practice address
8488 W. HILLSBOROUGH AVENUE, TAMPA, FL 33615
(813) 889-9800
(813) 889-9566
Mailing address
PO BOX 144640, CORAL GABLES, FL 33114-4640
(786) 441-5660
(786) 441-5660
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
ME85120
FL
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274541100
—
FL
Enumeration date
05/22/2007
Last updated
08/28/2013
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