Organization
BAY AREA EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN HAIRE MD (PRESIDENT)
(727) 461-8537
Entity
Organization
Contact information
Practice address
300 PINELLAS ST, CLEARWATER, FL 33756-3804
(727) 461-8537
Mailing address
PO BOX 17308, CLEARWATER, FL 33762-0308
(904) 482-1070
(904) 482-1077
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267595100
—
FL
01
—
34771
MEDICARE PTAN
FL
Enumeration date
06/27/2006
Last updated
08/17/2018
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