Organization
BAY AREA EMERGENCY PHYSICIANS URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN POLEN (MANAGER)
(727) 461-8234
Entity
Organization
Contact information
Practice address
6909 W WATERS AVE, TAMPA, FL 33634-2213
(727) 532-1355
Mailing address
PO BOX 1728, CLEARWATER, FL 33757-1728
(727) 532-1355
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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