Organization
BAYSIDE MEDICAL GROUP
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN AKACHUKWU ESUZOR ARNPN (ARNP RROVIDER)
(813) 679-7670
Entity
Organization
Contact information
Practice address
6228 GREENWICH DR, TAMPA, FL 33647-1142
(813) 679-7670
(813) 977-8009
Mailing address
6228 GREENWICH DR, TAMPA, FL 33647-1142
(813) 679-7670
(813) 977-8009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP3380082
FL
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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