Organization
BAY MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAVANI MADIRAJU (MEM MGR.)
(813) 501-7959
Entity
Organization
Contact information
Practice address
10335 CROSS CREEK BLVD STE G, TAMPA, FL 33647-2643
(813) 501-7959
(800) 763-5765
Mailing address
10335 CROSS CREEK BLVD STE G, TAMPA, FL 33647-2643
(813) 501-7959
(800) 763-5765
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
12/13/2018
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