Organization
BAY AREA MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYED ALI SAFDAR (PRESIDENT)
(813) 715-4446
Entity
Organization
Contact information
Practice address
37900 DAUGHTERY RD, ZEPHYRHILLS, FL 33541-1316
(813) 715-4446
(813) 780-7786
Mailing address
PO BOX 48589, TAMPA, FL 33647-0122
(813) 715-4446
(813) 780-7786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0070811
FL
207RC0000X
Cardiovascular Disease Physician
ME0041877
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK2071
RAILROAD MEDICARE
—
Enumeration date
02/04/2007
Last updated
05/26/2015
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