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Organization

BAYSHORE HEALTH AND WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN BAKER (PRESIDENT)
(813) 298-6545
Entity
Organization

Contact information

Practice address
2299 9TH AVE N STE 1A, ST PETERSBURG, FL 33713-6851
(813) 298-6545
Mailing address
2299 9TH AVE N STE 1A, ST PETERSBURG, FL 33713-6851
(813) 298-6545

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/07/2019
Last updated
04/08/2019
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