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Organization

BAYFRONT NEONATOLOGY SERVICES

Active
Parent organization
BAYFRONT MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAYFRONT MEDICAL CENTER
Authorized official
MR. ROBERT THORNTON (CFO)
(727) 893-6698
Entity
Organization

Contact information

Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 893-6095
Mailing address
700 6TH ST S, ST PETERSBURG, FL 33701-4815
(727) 893-6095

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
061273100
FL
Enumeration date
04/25/2008
Last updated
04/25/2008
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